Nakamura S, Yamada H, Tanaka Y, Kageyama N
No Shinkei Geka. 1981 May;9(6):717-24.
Development of computerized tomography (CT) has greatly improved the ease and accuracy of identification of fluid-containing intracranial cavities. CT reveals the size, location of the cyst, associated brain disorders and relationship between the cyst and the subarachnoid space or the ventricular system. An accurate diagnosis by plain CT is sometimes difficult to obtain. It is important to determine whether the cysts communicate with the ventricular system or subarachnoid space for the selection of the surgical treatment. The cerebrospinal fluid dynamics was examined by CT cisternography and CT ventriculography using metrizamide injected into lumbar subarachnoid space or ventricular system in 27 children of intracranial cystic lesion during the last two years. Serial CT scanning and analysis of the CT number in the cystic cavity was performed according to the necessity. The preoperative knowledge of the location of the cysts and the CSF dynamics has been proved to be useful for the surgical treatment. CT cisternography and CT ventriculography would be regarded to be safe and reliable neuroradiological examinations in evaluating the CSF dynamics of the intracranial cystic lesion of children.
计算机断层扫描(CT)的发展极大地提高了识别颅内含液腔隙的便捷性和准确性。CT可显示囊肿的大小、位置、相关的脑部病变以及囊肿与蛛网膜下腔或脑室系统之间的关系。有时仅通过普通CT难以获得准确诊断。确定囊肿是否与脑室系统或蛛网膜下腔相通对于选择手术治疗至关重要。在过去两年中,对27例颅内囊性病变患儿经腰椎蛛网膜下腔或脑室系统注入甲泛葡胺,通过CT脑池造影和CT脑室造影检查脑脊液动力学。根据需要进行连续CT扫描并分析囊腔内的CT值。术前了解囊肿位置和脑脊液动力学已被证明对手术治疗有用。CT脑池造影和CT脑室造影在评估儿童颅内囊性病变的脑脊液动力学方面将被视为安全可靠的神经放射学检查。