Agnoli A L, Ellams E T
Rofo. 1984 Nov;141(5):491-8. doi: 10.1055/s-2008-1053177.
The clinical features and neuroradiological and computertomographic findings in 125 patients with cystic intracranial processes, which were neither due to tumour nor of vascular origin, have been analysed. The intrathecal injection of iodinated contrast media is absolutely essential for the differential diagnosis of congenital cysts. CT demonstration using 2 mm. slices and coronal and sagittal reconstruction makes it possible to relate the lesions to surrounding brain structures. Additional anomalies of the brain can be diagnosed and considered when planning treatment. Air studies are no longer necessary, but plain films remain the first diagnostic step. In view of modern micro-surgical techniques, angiography remains of value in order to diagnose vascular anomalies at a pre-operative stage.
对125例颅内囊性病变患者的临床特征、神经放射学及计算机断层扫描结果进行了分析,这些病变既非肿瘤性也非血管源性。鞘内注射碘化造影剂对先天性囊肿的鉴别诊断绝对必要。使用2毫米层厚进行CT扫描并进行冠状面和矢状面重建,能够将病变与周围脑结构联系起来。在制定治疗方案时,可以诊断并考虑脑部的其他异常情况。气脑造影检查已不再必要,但平片仍是首要的诊断步骤。鉴于现代显微外科技术,血管造影在术前诊断血管异常方面仍具有价值。