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三叶形脑膜瘤:后半规管壶腹、内耳道及小脑脑桥角。

Trilobed meningioma: ampulla of posterior semicircular canal, internal auditory canal, and cerebellopontine angle.

作者信息

Brookler K H, Hoffman R A, Camins M, Terzakis J

出版信息

Am J Otol. 1980 Jan;1(3):171-3.

PMID:6969989
Abstract

Meningiomas rarely arise from or remain limited to the temporal bone. When the diagnosis of temporal bone meningioma is made, it is mandatory to investigate the possibility of an intracranial component. Computerized axial tomography with contrast enhancement is of limited value in detecting small tumors adjacent to the temporal bone or within the internal auditory canal. If the computerized tomogram is normal, a positive contrast posterior fossa myelogram is indicated. The pitfall of depending solely upon computerized tomography to detect intracranial extension became clear in the evaluation of a patient found to have an unusual trilobed meningioma.

摘要

脑膜瘤很少起源于颞骨或局限于颞骨。当诊断为颞骨脑膜瘤时,必须检查是否存在颅内病变。增强计算机断层扫描在检测颞骨附近或内耳道内的小肿瘤时价值有限。如果计算机断层扫描结果正常,则需进行阳性对比剂后颅窝脊髓造影。在评估一名患有罕见三叶状脑膜瘤的患者时,仅依靠计算机断层扫描来检测颅内扩展的缺陷变得显而易见。

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引用本文的文献

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Non-schwannomatosis lesions of the internal acoustic meatus-a diagnostic challenge and management: a series report of nine cases.内耳道非施万细胞瘤病变——诊断挑战与处理:9例系列报告
Neurosurg Rev. 2015 Oct;38(4):641-8. doi: 10.1007/s10143-015-0638-y. Epub 2015 May 10.
2
Primary extracranial meningiomas: an analysis of 146 cases.原发性颅外脑膜瘤:146例分析
Head Neck Pathol. 2009 Jun;3(2):116-30. doi: 10.1007/s12105-009-0118-1. Epub 2009 May 20.
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Meningiomas involving the internal auditory canal: a diagnostic and surgical challenge.
累及内耳道的脑膜瘤:诊断与手术挑战
Skull Base Surg. 1999;9(2):87-94. doi: 10.1055/s-2008-1058154.
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Meningiomas of the internal auditory canal: two case reports.内耳道脑膜瘤:两例报告
Skull Base. 2002 Feb;12(1):19-26. doi: 10.1055/s-2002-21569-1.
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Intralabyrinthine meningioma.迷路内脑膜瘤。
AJNR Am J Neuroradiol. 2003 Sep;24(8):1642-5.
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Intracanalicular meningioma mimicking vestibular schwannoma.酷似前庭神经鞘瘤的管内型脑膜瘤。
AJNR Am J Neuroradiol. 2002 Oct;23(9):1493-6.