Ahumada Fernando, Alfaro Alejandro Jose Quiroz, Diaz Orlando
Department of Neuroradiology, The Houston Methodist Hospital, Houston, 6565 Fannin St, Houston, TX 77030, USA.
Internal Medicine, North Mississippi Medical Center, Tupelo, 830 South Gloster Street, Tupelo, MS 38801, USA.
Radiol Case Rep. 2024 Aug 3;19(10):4522-4525. doi: 10.1016/j.radcr.2024.07.037. eCollection 2024 Oct.
This case report aims to describe the clinical presentation, imaging findings, diagnostic challenges, and management of a patient with a cerebellopontine angle lesion. A 63-year-old woman presented with progressive headaches, tinnitus, right ear pressure, and dizziness. Initial imaging studies (computed tomography and magnetic resonance imaging) suggested either a thrombosed aneurysm or a lipoma. However, advanced imaging with cone beam computed tomography provided a definitive diagnosis of temporal bone exostosis. This case highlights the importance of cone beam computed tomography in diagnosing complex intracranial lesions due to its superior spatial resolution and lower radiation dose.
本病例报告旨在描述一名患有桥小脑角病变患者的临床表现、影像学检查结果、诊断挑战及治疗情况。一名63岁女性出现进行性头痛、耳鸣、右耳闷胀感及头晕症状。初始影像学检查(计算机断层扫描和磁共振成像)提示可能为血栓形成的动脉瘤或脂肪瘤。然而,锥束计算机断层扫描的进一步成像明确诊断为颞骨外生骨疣。该病例凸显了锥束计算机断层扫描在诊断复杂颅内病变方面的重要性,因其具有卓越的空间分辨率和较低的辐射剂量。