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模拟蝶形胶质瘤的反应性胶质增生:一项神经放射学病例研究。

Reactive gliosis simulating butterfly glioma: a neuroradiological case study.

作者信息

Cazenave C, Reid S, Virapongse C, Hunter S

出版信息

Neurosurgery. 1986 Nov;19(5):816-9. doi: 10.1227/00006123-198611000-00017.

DOI:10.1227/00006123-198611000-00017
PMID:3785632
Abstract

Reactive gliosis was found in a 40-year-old man who presented with intractable seizures thought to be due to a malignant neoplasm. Although two separate lesions located bilaterally in the frontal lobes were evident on the computed tomographic scan, a connection between these lesions along the fibers of the corpus callosum was clearly demonstrated on T2-weighted magnetic resonance images. The unusual radiological appearance of this gliosis, which simulated a malignant butterfly glioma on magnetic resonance imaging (MRI), is reported. Because MRI is still a new modality, its images should be interpreted with judicious caution.

摘要

在一名40岁男性患者中发现反应性胶质增生,该患者表现为顽固性癫痫发作,推测是由恶性肿瘤引起的。尽管计算机断层扫描显示双侧额叶有两个独立的病变,但在T2加权磁共振图像上清楚地显示了这些病变沿胼胝体纤维的连接。本文报道了这种胶质增生不寻常的放射学表现,其在磁共振成像(MRI)上类似恶性蝶形胶质瘤。由于MRI仍是一种新的检查方式,对其图像的解读应谨慎小心。

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