Rhodes R H, Noguchi T T, Ahmadi J, Zee C S, Ross A A
Ann Clin Lab Sci. 1987 Jan-Feb;17(1):36-51.
Interpretation of cranial computed tomography in five patients and angiography in one of these patients contributed significantly to primary clinical diagnoses and management; however, the diagnoses were incorrect. The lesions in the radiographic studies were correlated with classical clinical findings. Associated and generally unappreciated clinical or radiographic findings also were present and could have lead to reconsideration of at least some of the primary diagnoses. The unusual or unique presentations resulting in underdiagnosis or overdiagnosis lead to nonbeneficial or improper care. Cerebrovascular and infectious diseases found in most of these cases are recognized as common areas of diagnostic difficulty by previous and present follow-up pathological studies.
对5例患者进行的头颅计算机断层扫描及其中1例患者的血管造影对初步临床诊断和治疗有显著帮助；然而，诊断是错误的。影像学研究中的病变与典型临床发现相关。还存在一些相关的、通常未被重视的临床或影像学发现，这些发现本可促使至少对部分初步诊断进行重新考虑。这些不寻常或独特的表现导致诊断不足或过度诊断，进而导致治疗无益或不当。通过既往及当前的后续病理研究可知，这些病例中发现的脑血管疾病和感染性疾病是公认的诊断难点领域。
