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海绵窦区两种临床难以捉摸的肿块性病变的影像学识别:脑膜瘤和动脉瘤。

The radiographic recognition of two clinically elusive mass lesions of the cavernous sinus: meningiomas and aneurysms.

作者信息

Post M J, Glaser J S, Trobe J D

出版信息

Neuroradiology. 1978;16:499-503. doi: 10.1007/BF00395345.

DOI:10.1007/BF00395345
PMID:745747
Abstract

Cavernous sinus syndromes secondary to chronic mass lesions, although a relatively rare cause of ophthalmoplegia, represent a distinct challenge in neuroradiologic diagnosis. Puzzling neuro-ophthalmologic signs and often subtle radiologic changes consistently lead to erroneous and delayed diagnoses as exemplified by a review of 20 patients; a correct clinical or radiographic diagnosis was initially not made in any individual.

摘要

继发于慢性占位性病变的海绵窦综合征虽然是导致眼肌麻痹相对少见的原因,但在神经放射学诊断中却是一项独特的挑战。令人困惑的神经眼科体征以及往往不明显的放射学改变一直导致错误和延迟的诊断,对20例患者的回顾就说明了这一点;最初没有任何一例患者得到正确的临床或影像学诊断。

相似文献

1
The radiographic recognition of two clinically elusive mass lesions of the cavernous sinus: meningiomas and aneurysms.海绵窦区两种临床难以捉摸的肿块性病变的影像学识别:脑膜瘤和动脉瘤。
Neuroradiology. 1978;16:499-503. doi: 10.1007/BF00395345.
2
The radiographic diagnosis of cavernous meningiomas and aneurysms with a review of the neurovascular anatomy of the cavernous sinus.海绵状脑膜瘤和动脉瘤的影像学诊断及海绵窦神经血管解剖学综述
CRC Crit Rev Diagn Imaging. 1979 Nov;12(1):1-34.
3
Management of cavernous sinus meningiomas.海绵窦脑膜瘤的治疗
Neurochirurgia (Stuttg). 1985 Sep;28(5):195-8. doi: 10.1055/s-2008-1054198.
4
Computed tomographic evaluation of the cavernous sinus.海绵窦的计算机断层扫描评估
Ophthalmology. 1982 Apr;89(4):374-85. doi: 10.1016/s0161-6420(82)34781-8.
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Orbital phlebography and cavernography in intra-cranial lesions.颅内病变的眼眶静脉造影和海绵窦造影
Acta Radiol Suppl. 1976;347:277-83. doi: 10.1177/0284185175016s34734.
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Cavernous sinus meningiomas.海绵窦脑膜瘤
Neurochirurgia (Stuttg). 1987 Mar;30(2):40-7. doi: 10.1055/s-2008-1053654.
7
Meningiomas and aneurysms of the cavernous sinus. Neuro-ophthalmologic features.海绵窦脑膜瘤和动脉瘤。神经眼科特征。
Arch Ophthalmol. 1978 Mar;96(3):457-67. doi: 10.1001/archopht.1978.03910050233009.
8
Current approach to meningiomas of the medial sphenoid wing and the cavernous sinus.蝶骨内侧翼和海绵窦脑膜瘤的当前治疗方法
Neurol India. 2018 Mar-Apr;66(2):335-341. doi: 10.4103/0028-3886.227292.
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Comparison of MR imaging, CT, and angiography in the evaluation of the enlarged cavernous sinus.
AJR Am J Roentgenol. 1988 Nov;151(5):1015-23. doi: 10.2214/ajr.151.5.1015.
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[Orbital phlebography in the study of tumors of the base of the skull].
Acta Radiol Diagn (Stockh). 1969;9:272-6.

引用本文的文献

1
Unruptured intracavernous carotid artery aneurysm mimicking "painful ophthalmoplegia". Case report.
Ital J Neurol Sci. 1986 Dec;7(6):609-11. doi: 10.1007/BF02341476.
2
Computed tomography of cavernous sinus diseases.
Neuroradiology. 1988;30(4):319-28. doi: 10.1007/BF00328183.

本文引用的文献

1
Report on 280 cases of verified parasagittal meningioma.280例经证实的矢状窦旁脑膜瘤报告。
J Neurosurg. 1955 Nov;12(6):614-26. doi: 10.3171/jns.1955.12.6.0614.
2
Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. Based on 6368 cases in the cooperative study.蛛网膜下腔出血、颅内动脉瘤和动静脉畸形的自然病史。基于合作研究中的6368例病例。
J Neurosurg. 1966 Aug;25(2):219-39. doi: 10.3171/jns.1966.25.2.0219.
3
[Proceedings: Classification and clinical symptomatology of cerebral aneurysms].
Ophthalmologica. 1973;167(2):122-64. doi: 10.1159/000306937.
4
Meningiomas and aneurysms of the cavernous sinus. Neuro-ophthalmologic features.海绵窦脑膜瘤和动脉瘤。神经眼科特征。
Arch Ophthalmol. 1978 Mar;96(3):457-67. doi: 10.1001/archopht.1978.03910050233009.