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筛板脑脊液漏的影像学表现

Imaging of cerebrospinal fluid leakage from the cribriform plate.

作者信息

Sato Tomoki, Morishita Yohei, Suzuki Jun, Narita Ryu, Uehara Keisei, Kato Erina, Takase Kei

机构信息

Department of Diagnostic Radiology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8574, Japan.

Department of Diagnostic Radiology, Takeda General Hospital, 3-27 Yamaga-machi, Aizuwakamatsu, Fukushima 965-8585, Japan.

出版信息

Radiol Case Rep. 2025 Jan 20;20(4):1920-1924. doi: 10.1016/j.radcr.2025.01.004. eCollection 2025 Apr.

DOI:10.1016/j.radcr.2025.01.004
PMID:39897741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11786159/
Abstract

Cerebrospinal fluid leakage from the skull base occurs when the subarachnoid space communicates with the extracranial space. Cerebrospinal fluid leakage from the cribriform plate is often difficult to diagnose because the fistula is small. If the fistula can be identified before surgery, this can contribute greatly to treatment. We present 2 cases of cerebrospinal fluid leakage from the cribriform plate with tiny fistulas, which we were able to diagnose before surgery with CT and MRI.

摘要

当蛛网膜下腔与颅外间隙相通时,可发生颅底脑脊液漏。筛板脑脊液漏往往难以诊断,因为瘘口很小。如果在手术前能够识别瘘口,这将对治疗有很大帮助。我们报告2例筛板微小瘘口导致的脑脊液漏病例,我们通过CT和MRI在手术前做出了诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3966/11786159/b799c95f4130/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3966/11786159/846df368e320/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3966/11786159/b799c95f4130/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3966/11786159/846df368e320/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3966/11786159/b799c95f4130/gr2.jpg

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本文引用的文献

1
High-Resolution Computed Tomography as an Initial Diagnostic and Localization Tool in Patients with Cerebrospinal Fluid Rhinorrhea: A Meta-Analysis.高分辨率计算机断层扫描在脑脊液鼻漏患者中的初始诊断和定位作用:一项荟萃分析。
Medicina (Kaunas). 2023 Mar 10;59(3):540. doi: 10.3390/medicina59030540.
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Economic implications of localization strategies for cerebrospinal fluid rhinorrhea.脑脊液鼻漏本地化策略的经济意义。
Int Forum Allergy Rhinol. 2020 Mar;10(3):419-425. doi: 10.1002/alr.22501. Epub 2019 Dec 12.
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Imaging of Cerebrospinal Fluid Leak.
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T2-weighted vs. intrathecal contrast-enhanced MR cisternography in the evaluation of CSF rhinorrhea.在脑脊液鼻漏评估中,T2加权成像与鞘内对比剂增强磁共振脑池造影的比较
Acta Radiol. 2013 Jul;54(6):698-701. doi: 10.1177/0284185113478008. Epub 2013 Apr 30.
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A novel finding on computed tomography in the diagnosis and localization of cerebrospinal fluid leaks without a clear bony defect.计算机断层扫描在诊断和定位无明显骨缺损的脑脊液漏中的新发现。
Int Forum Allergy Rhinol. 2012 Sep-Oct;2(5):402-4. doi: 10.1002/alr.21048. Epub 2012 May 7.
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Intrathecal gadolinium-enhanced MR cisternography: a comprehensive review.鞘内钆增强磁共振脑池造影:全面综述。
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The contribution of 3D-CISS and contrast-enhanced MR cisternography in detecting cerebrospinal fluid leak in patients with rhinorrhoea.3D-CISS 和增强 MR 脑池造影在检测鼻漏患者脑脊液漏中的作用。
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Imaging of skull base cerebrospinal fluid leaks in adults.成人颅底脑脊液漏的影像学检查
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10
Nontraumatic skull base defects with spontaneous CSF rhinorrhea and arachnoid herniation: imaging findings and correlation with endoscopic sinus surgery in 27 patients.伴有自发性脑脊液鼻漏和蛛网膜疝的非创伤性颅底缺损:27例患者的影像学表现及其与鼻内镜鼻窦手术的相关性
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