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良性增强寰枕裂孔病变。

Benign Enhancing Foramen Magnum Lesions.

机构信息

From the Department of Radiology (I.T.M., D.B., J.B., N.G.C., D.R.J., S.A.M., P.P.M.), Mayo Clinic, Rochester, Minnesotta

From the Department of Radiology (I.T.M., D.B., J.B., N.G.C., D.R.J., S.A.M., P.P.M.), Mayo Clinic, Rochester, Minnesotta.

出版信息

AJNR Am J Neuroradiol. 2023 Sep;44(9):999-1001. doi: 10.3174/ajnr.A7955. Epub 2023 Aug 3.

DOI:10.3174/ajnr.A7955
PMID:37536735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10494948/
Abstract

Benign enhancing foramen magnum lesions have been previously described as T2-hyperintense small, enhancing lesions located posterior to the intradural vertebral artery. We present the first case with pathologic correlation. These lesions are fibrotic nodules adhering to the spinal accessory nerve. While they can enlarge with time on subsequent examinations, on the basis of the imaging characteristics and location, they do not necessitate surgical resection.

摘要

良性增强后颅窝病变先前被描述为 T2 高信号的小增强病变,位于硬脊膜内椎动脉的后方。我们报告首例与病理相关的病例。这些病变是附着在副神经上的纤维性结节。虽然它们在随后的检查中会随时间增大,但根据影像学特征和位置,它们不需要手术切除。

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本文引用的文献

1
Evidence for the Vascular Origin of Benign Enhancing Foramen Magnum Lesions via Intraoperative Photographs: Case Report and Review of the Literature.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
Cureus. 2021 Dec 27;13(12):e20753. doi: 10.7759/cureus.20753. eCollection 2021 Dec.
2
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.
3
Intradural Extramedullary Spinal Neoplasms: Radiologic-Pathologic Correlation.椎管内髓外肿瘤:放射-病理相关性。
Radiographics. 2019 Mar-Apr;39(2):468-490. doi: 10.1148/rg.2019180200.
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
The Accessory Nerve: A Comprehensive Review of its Anatomy, Development, Variations, Landmarks and Clinical Considerations.副神经:解剖、发育、变异、标志及临床相关的全面综述。
Anat Rec (Hoboken). 2019 Apr;302(4):620-629. doi: 10.1002/ar.23823. Epub 2018 Apr 23.
6
Single-Center Clinical Characteristics and Treatment Experience of Foramen Magnum Neurenteric Cyst: Report of 6 Cases and Brief Review of the Literature.枕大孔神经肠囊肿的单中心临床特征与治疗经验:6例报告并文献简要回顾
World Neurosurg. 2018 Apr;112:e608-e616. doi: 10.1016/j.wneu.2018.01.097. Epub 2018 Jan 31.
7
Imaging Findings of Benign Enhancing Foramen Magnum Lesions.枕大孔良性强化病变的影像学表现
AJNR Am J Neuroradiol. 2017 Nov;38(11):E95-E96. doi: 10.3174/ajnr.A5330. Epub 2017 Jul 20.
8
Benign Enhancing Foramen Magnum Lesions: Clinical Report of a Newly Recognized Entity.良性强化性枕骨大孔病变:一种新发现实体的临床报告
AJNR Am J Neuroradiol. 2017 Apr;38(4):721-725. doi: 10.3174/ajnr.A5085. Epub 2017 Feb 2.
9
Distribution of Neuron Cell Bodies in the Intraspinal Portion of the Spinal Accessory Nerve in Humans.人类副神经脊髓内部分中神经元胞体的分布
Anat Rec (Hoboken). 2016 Jan;299(1):98-102. doi: 10.1002/ar.23279. Epub 2015 Oct 30.
10
Cranial roots of the accessory nerve exist in the majority of adult humans.副神经的颅根存在于大多数成年人体内。
Clin Anat. 2014 Jan;27(1):102-7. doi: 10.1002/ca.22125. Epub 2012 Jul 31.