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通过术中照片证明良性枕骨大孔强化病变的血管起源:病例报告及文献综述

Evidence for the Vascular Origin of Benign Enhancing Foramen Magnum Lesions via Intraoperative Photographs: Case Report and Review of the Literature.

作者信息

Rosskopf Johannes, Schmitz Bernd, Beer Meinrad, Pala Andrej, Kim Soung Yung

机构信息

Neuroradiology, Bezirkskrankenhaus Guenzburg, Guenzburg, DEU.

Radiology, Ulm University, Ulm, DEU.

出版信息

Cureus. 2021 Dec 27;13(12):e20753. doi: 10.7759/cureus.20753. eCollection 2021 Dec.

DOI:10.7759/cureus.20753
PMID:35111441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8791429/
Abstract

A small, benign enhancing lesion posterior to the intracranial vertebral artery at the foramen magnum is a recently described image-based entity and believed to represent varix or ganglion. We report on an individual who underwent surgery due to a hybrid neurofibroma/schwannoma of the trigeminal nerve and additionally presented a small gadolinium-enhancing lesion in the right spinal canal at the level of the craniocervical junction (CCJ). The intraoperative finding of this enhancing lesion most likely represents the lateral internal vertebral venous plexus which does not require follow up or surgical excision.

摘要

枕骨大孔处颅内椎动脉后方的一个小的、良性强化病变是最近基于影像学描述的一种实体,被认为代表静脉曲张或神经节。我们报告了一名因三叉神经混合性神经纤维瘤/神经鞘瘤接受手术的患者,其在颅颈交界(CCJ)水平的右侧椎管内还存在一个小的钆强化病变。术中发现这个强化病变很可能代表外侧椎内静脉丛,无需随访或手术切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ba9/8791429/31925fc80752/cureus-0013-00000020753-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ba9/8791429/31925fc80752/cureus-0013-00000020753-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ba9/8791429/31925fc80752/cureus-0013-00000020753-i01.jpg

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引用本文的文献

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本文引用的文献

1
A Dorsally Located Endodermal Cyst in the Foramen Magnum Mimicking an Arachnoid Cyst: A Case Report.椎管内硬膜内囊肿误诊为蛛网膜囊肿 1 例报告
Pediatr Neurosurg. 2020;55(4):197-202. doi: 10.1159/000509062. Epub 2020 Sep 14.
2
Venous structures can mimic masses in the foramen magnum.静脉结构可模仿枕骨大孔区的肿块。
Radiol Case Rep. 2020 May 4;15(7):921-925. doi: 10.1016/j.radcr.2020.04.005. eCollection 2020 Jul.
3
Evaluation of a high-signal lesion posterior to the intracranial vertebral artery using 3D balanced fast-field echo imaging.
使用 3D 平衡快速场回波成像评估颅内椎动脉后方的高信号病变。
Neuroradiology. 2019 Oct;61(10):1199-1202. doi: 10.1007/s00234-019-02270-5. Epub 2019 Aug 6.
4
Small high-signal lesions posterior to the intracranial vertebral artery incidentally identified by 3D FLAIR: retrospective study of 127 patients.3D FLAIR偶然发现的颅内椎动脉后方小的高信号病变:127例患者的回顾性研究
Neuroradiology. 2018 Jun;60(6):591-597. doi: 10.1007/s00234-018-2027-z. Epub 2018 May 3.
5
Intracranial Connections of the Vertebral Venous Plexus: Anatomical Study with Application to Neurosurgical and Endovascular Procedures at the Craniocervical Junction.颅内椎静脉丛的连接:应用于颅颈交界区神经外科和血管内手术的解剖学研究。
Oper Neurosurg (Hagerstown). 2018 Jan 1;14(1):51-57. doi: 10.1093/ons/opx080.
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Imaging Findings of Benign Enhancing Foramen Magnum Lesions.枕大孔良性强化病变的影像学表现
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