Akimoto H, Maki Y, Ono Y, Kuno K
No Shinkei Geka. 1978 Nov;6(11):1083-7.
It has been reported that falx images usually are not visualized on CT scan except in the case with brain atrophy of falx calcification. But we have often experienced the falx images on CT scan in the case of normal child, and we have an idea that falx images do not always mean a calcification of the falx. Evaluation of falx images on CT scan was done in 964 normal or abnormal cases in relation to different CT slice level, age, sex, pineal body and habenula and choroid plexus. Results are as follows; 1) Slice of higher level revealed higher incidence of falx image. 2) Incidence of falx images was lowest in the second decade, and showed gradual increase in relation to aging process. 3) Incidence of falx images revealed no sex difference. 4) Incidence of falx images showed a following tendency: a) Under 10 years; falx greater than pineal body and habenula greater than choroid plexus. b) Between 11 years to 20: pineal body and habenula greater than choroid plexus greater than or equal to falx. c) Over 21 years: pineal body and habenula greater than choroid plesus greater than falx. 5) The case with brain edema showed a higher incidence of falx images than the normal case, but the case with brain atrophy did not show a higher incidence. 6) Difference of CT number of falx region between the case of positive falx image and negative could not be recognized.
据报道,除了大脑镰钙化导致脑萎缩的情况外,大脑镰影像通常在CT扫描中无法显示。但我们在正常儿童的CT扫描中经常看到大脑镰影像,我们认为大脑镰影像并不总是意味着大脑镰钙化。我们对964例正常或异常病例的CT扫描大脑镰影像进行了评估,涉及不同的CT切片水平、年龄、性别、松果体、缰核和脉络丛。结果如下:1)较高水平的切片显示大脑镰影像的发生率更高。2)大脑镰影像的发生率在第二个十年最低,并随着衰老过程逐渐增加。3)大脑镰影像的发生率没有性别差异。4)大脑镰影像的发生率呈现以下趋势:a)10岁以下:大脑镰大于松果体,缰核大于脉络丛。b)11岁至20岁:松果体和缰核大于脉络丛大于或等于大脑镰。c)21岁以上:松果体和缰核大于脉络丛大于大脑镰。5)脑水肿病例的大脑镰影像发生率高于正常病例,但脑萎缩病例未显示出更高的发生率。6)大脑镰影像阳性和阴性病例之间大脑镰区域的CT值差异无法识别。