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罕见及非典型脑膜瘤与影像学变异:7例报告

Uncommon and atypical meningiomas and imaging variants: A report of 7 cases.

作者信息

Fotakopoulos George, Tsolaki Vasiliki, Aravantinou-Fatorou Aikaterini, Georgakopoulou Vasiliki Epameinondas, Spandidos Demetrios A, Papalexis Petros, Tarantinos Kyriakos, Trakas Nikolaos, Sklapani Pagona, Mathioudakis Nikolaos, Chlapoutakis Serafeim, Lavdas Eleftherios

机构信息

Department of Neurosurgery, General University Hospital of Larisa, 41221 Larisa, Greece.

Department of Pulmonary and Critical Care Medicine, General University Hospital of Larisa, 41221 Larisa, Greece.

出版信息

Med Int (Lond). 2022 Nov 15;2(6):35. doi: 10.3892/mi.2022.60. eCollection 2022 Nov-Dec.

Abstract

Meningiomas constitute the most common extra-axial tumor of the central nervous system and can have a wide-ranging manifestation of imaging. There are several types of unusual depictions depicted with the magnetic resonance imaging (MRI) of meningiomas that have been established thus far. It is thus crucial for the reporting radiologist or neurosurgeon to have an in-depth knowledge of their variable manifestations in order to be able to differentiate these neoplasms from the numerous tumors that can mimic their appearance. Meningioma is frequently challenging to diagnose when imaging variants are present. Nevertheless, a number of unusual histological variants have imaging or clinical features which are related to typical meningiomas and, in numerous cases, these require specific surgical management. The present study describes 7 cases of meningiomas, which were either simple atypical, unusual gigantic extracranial intracranial parasagittal, or not visible meningiomas. These uncommon and atypical imaging variants of meningiomas are described herein in an aim to underline their various potential presentations.

摘要

脑膜瘤是中枢神经系统最常见的轴外肿瘤,其影像学表现广泛。迄今为止,磁共振成像(MRI)已发现脑膜瘤有几种不寻常的表现。因此,报告放射科医生或神经外科医生深入了解其多样表现至关重要,以便能够将这些肿瘤与众多可模仿其外观的肿瘤区分开来。当存在影像学变异时,脑膜瘤的诊断常常具有挑战性。然而,一些不寻常的组织学变异具有与典型脑膜瘤相关的影像学或临床特征,在许多情况下,这些变异需要特定的手术处理。本研究描述了7例脑膜瘤病例,这些病例要么是单纯非典型、不寻常的巨大颅外颅内矢旁脑膜瘤,要么是隐匿性脑膜瘤。本文描述了这些不常见且非典型的脑膜瘤影像学变异,旨在强调其各种可能的表现形式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7301/9829240/c5b21aef47e0/mi-02-06-00060-g00.jpg

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