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锥形束计算机断层扫描在罕见颞骨病变中的应用:一例报告。

Utility of cone beam computed tomography for rare temporal bone lesion: A case report.

作者信息

Ahumada Fernando, Alfaro Alejandro Jose Quiroz, Diaz Orlando

机构信息

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.

出版信息

Radiol Case Rep. 2024 Aug 3;19(10):4522-4525. doi: 10.1016/j.radcr.2024.07.037. eCollection 2024 Oct.

DOI:10.1016/j.radcr.2024.07.037
PMID:39188630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11345290/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61f5/11345290/a96cb1558750/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61f5/11345290/fdf6999dded2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61f5/11345290/e8a106759cd4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61f5/11345290/a96cb1558750/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61f5/11345290/fdf6999dded2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61f5/11345290/e8a106759cd4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61f5/11345290/a96cb1558750/gr3.jpg

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本文引用的文献

1
Treatment strategies for saccular anterior inferior cerebellar artery aneurysms: a systematic review.囊性前下小脑动脉动脉瘤的治疗策略:系统评价。
Neurosurg Rev. 2024 Mar 7;47(1):103. doi: 10.1007/s10143-024-02338-8.
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Anterior inferior cerebellar artery aneurysm with proximal parent artery stenosis: A case report.伴有近端供血动脉狭窄的小脑下前动脉动脉瘤:一例报告
Radiol Case Rep. 2023 Dec 21;19(3):974-977. doi: 10.1016/j.radcr.2023.11.090. eCollection 2024 Mar.
3
Imaging of Temporal Bone Mass Lesions: A Pictorial Review.颞骨肿块病变的影像学:图文综述
Diagnostics (Basel). 2023 Aug 13;13(16):2665. doi: 10.3390/diagnostics13162665.
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Three-dimensional reconstruction of the temporal bone: Comparison of in situ, CT, and CBCT measurements.颞骨的三维重建:原位、CT 和 CBCT 测量的比较。
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[Visualization of subtle temporal bone structures. Comparison of cone beam CT and MDCT].[颞骨细微结构的可视化。锥形束CT与多层螺旋CT的比较]
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