Lanzieri C F, Sacher M, Som P M
AJNR Am J Neuroradiol. 1985 May-Jun;6(3):415-8.
Twenty-six consecutive patients with pulsatile neck masses were studied with digital subtraction angiography (DSA) by venous injection, computed tomography (CT), and conventional direct angiography. The neck masses proved to be secondary to tortuous and ectatic carotid or subclavian arteries in 13 cases, resulted from subclavian artery aneurysms in three cases, and resulted from tumor in 10 cases. DSA alone was sufficient for diagnosis in 16 of 26 cases. CT was performed in 15 cases and was contributory in 10. It was most useful when a tumor was demonstrated or suspected on DSA. Conventional angiography was performed in six cases. It contributed no useful information when arteriosclerotic vascular changes were the source of the neck mass, and added useful diagnostic information in only two of 10 neck tumors.
对26例连续性搏动性颈部肿块患者进行了数字减影血管造影(DSA)静脉注射、计算机断层扫描(CT)及传统直接血管造影检查。结果显示,13例颈部肿块继发于迂曲扩张的颈动脉或锁骨下动脉,3例由锁骨下动脉瘤引起,10例由肿瘤引起。26例中有16例仅通过DSA即可确诊。15例行CT检查,其中10例有辅助诊断价值,当DSA显示或怀疑有肿瘤时,CT最有用。6例行传统血管造影,当颈部肿块源于动脉硬化性血管改变时,传统血管造影未提供有用信息,在10例颈部肿瘤中仅2例补充了有用的诊断信息。