Baka J J, Sanders W P
Department of Radiology, Henry Ford Hospital, Detroit, MI 48202.
Neuroradiology. 1993;35(6):428-30. doi: 10.1007/BF00602822.
An unusual case of hemorrhage within a cyst in the choroid plexus of the lateral ventricle is presented. Choroid plexus cysts are commonly found incidentally on imaging studies, particularly MRI, where their characteristic appearance produces little diagnostic difficulty. In this case, high signal intensity of the cyst contents on T1-weighted images and apparent hemosiderin deposition in the cyst wall, not previously described, represented a dramatic change from a study 10 weeks previously and allowed a presumptive diagnosis of hemorrhage into the cyst, a presumption further supported by the changes in signal 20 weeks later.
本文报告了一例侧脑室脉络丛囊肿内出血的罕见病例。脉络丛囊肿通常在影像学检查中偶然发现,尤其是在MRI检查中,其特征性表现几乎没有诊断困难。在该病例中,T1加权图像上囊肿内容物呈高信号强度,且囊肿壁有明显的含铁血黄素沉积,这一表现此前未见报道,与10周前的检查相比有显著变化,提示囊肿内出血,20周后的信号变化进一步支持了这一推测性诊断。