Marák R, Muchová B
Neurologische Klinik, Palacký-Universität, Olomouc, Tschechische Republik.
Nervenarzt. 1993 Aug;64(8):530-4.
On the basis of two case reports of occult vascular malformation of the pons that had been followed since the first clinical manifestation, clinical picture, diagnosis using modern imaging methods (especially magnetic resonance imaging--MRI) and therapy of this disease are discussed. In addition to a precise localization diagnosis based on typical scans of varying signal intensity, particularly after bleeding, MRI also allows a preoperative qualitative identification of the lesion and provides important information about the dynamics of the process. Further experience with this uncommon clinical category will improve the early diagnosis and selection of an adequate therapy because the technique of stereotactic radiotherapy (gamma-knife) appears to be most suitable.
基于两例自首次临床表现起就被跟踪观察的脑桥隐匿性血管畸形病例报告,本文讨论了该病的临床症状、运用现代成像方法(尤其是磁共振成像——MRI)进行的诊断以及治疗方法。除了基于不同信号强度的典型扫描结果(特别是出血后)进行精确的定位诊断外,MRI还能在术前对病变进行定性识别,并提供有关病情发展动态的重要信息。由于立体定向放射治疗技术(伽玛刀)似乎最为适用,对这一罕见临床类型的进一步研究将有助于改善早期诊断并选择合适的治疗方法。