Wasserstrom R, Mamourian A C, Black J F, Lehman R A
Department of Radiology, Milton S. Hershey Medical Center, Pennsylvania State University Hospital, Hershey 17033.
AJNR Am J Neuroradiol. 1993 Mar-Apr;14(2):401-4.
Intradural extension of a herniated intervertebral disk, an unusual complication of a common disease, may mimic an intradural tumor on MR. A case of a pathologically proved subdural disk fragment is presented; MR findings that suggested the correct diagnosis were: proximity of intervertebral disk disease; whorl-like mixed intensity on T2-weighted images; poor visualization of the mass on unenhanced T1-weighted images; and marked ring enhancement following administration of gadolinium.
椎间盘突出的硬膜内延伸是一种常见疾病的不寻常并发症,在磁共振成像(MR)上可能类似硬膜内肿瘤。本文报告一例经病理证实的硬膜下椎间盘碎片病例;提示正确诊断的MR表现为:椎间盘疾病的临近关系;T2加权图像上的漩涡状混合信号强度;未增强的T1加权图像上肿块显示不清;以及注射钆后明显的环形强化。