Franek A, Werner S
Monatsschr Kinderheilkd. 1984 Jul;132(7):534-8.
Ultrasound examination of a case of tuberous sclerosis is described. The results are compared to plain skull roentgenography, CT and pathological anatomical findings. Apart from the well known advantages of sonography (absence of radiation load, easy and quick practicability of control nearly without strain to the patient) the comparison shows that ultrasound offers a better chance to evaluate the structure of gliomatous masses and their relationship to the adjacent tissues. In connection with the pathological microscopical picture and the results of sonography we drew the conclusion that the paraventricular calcifications in CT so far described are most possibly gliomatous proliferations with densities around 100 HU. Using CT as a diagnostic tool alone it is not possible to distinguish between gliomatous proliferation and calcification in tuberous sclerosis.
本文描述了一例结节性硬化症的超声检查情况。将检查结果与头颅X线平片、CT及病理解剖结果进行了比较。除了超声检查众所周知的优点(无辐射负荷、操作简便快捷,几乎不会给患者带来负担)外,比较结果表明,超声在评估胶质瘤肿块的结构及其与相邻组织的关系方面具有更好的机会。结合病理显微镜图像和超声检查结果,我们得出结论,目前CT中描述的脑室旁钙化很可能是密度约为100HU的胶质瘤增生。仅使用CT作为诊断工具,无法区分结节性硬化症中的胶质瘤增生和钙化。