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《CT对脑血管畸形的诊断与鉴别诊断(作者译)》

[Diagnosis and differential diagnosis of cerebro-vascular malformations by CT (author's transl)].

作者信息

Schumacher M, Stoeter P, Voigt K

出版信息

Radiologe. 1980 Mar;20(3):91-104.

PMID:7394182
Abstract

In 38 patients, the diagnosis of a cerebrovascular malformation (17 arteriovenous agniomas including one low-flow- and two venous angiomas; 10 aneurysms; 4 arteriovenous fistulae of the cavernous sinus, the tentorium and one of the Great Vein of Galen; 6 megadolical basilar arteries) was initially made by computertomographic (CT) examination, including contrast enhancement. The characteristic and pathognomonic CT findings are described and compared with those of cerebral angiography also done in these cases. The problems of differential diagnosis and the reasons for a false CT diagnosis in 5 other patients with a cerebro-vascular malformation are investigated; and the diagnostic value of cerebral angiography and CT is discussed and their complementary functions are being pointed out.

摘要

在38例患者中,最初通过计算机断层扫描(CT)检查(包括增强扫描)诊断出脑血管畸形(17例动静脉畸形,包括1例低流量畸形和2例静脉畸形;10例动脉瘤;4例海绵窦、小脑幕及大脑大静脉之一的动静脉瘘;6例巨大基底动脉)。描述了其特征性和具有诊断意义的CT表现,并与这些病例中同时进行的脑血管造影结果进行了比较。研究了另外5例脑血管畸形患者的鉴别诊断问题及CT误诊原因;讨论了脑血管造影和CT的诊断价值,并指出了它们的互补作用。

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