Chmielowski K, Swiatkowski W
Neurol Neurochir Pol. 1977;11(3):341-5.
The authors report two cases of brain abscess presenting considerable diagnostic difficulties despite neuroradiological investigations (angiography, pneumoencephalography, ventriculography). Brain scintigraphy was found to be most reliable in the detection and localization of focal intracerebral changes and made possible successful surgical intervention. In both cases the proper diagnosis of abscess was made only during the operation since the clinical syndrome did not suggest this type of lesion. Brain scintigraphy made possible localization of the lesions in the parietal and occipital areas; results of angiography and pneumoencephalography are not quite often reliable if lesions are situated in these areas.
作者报告了两例脑脓肿病例,尽管进行了神经放射学检查(血管造影、气脑造影、脑室造影),但诊断仍存在相当大的困难。发现脑闪烁扫描在检测和定位局灶性脑内病变方面最为可靠,并使成功的手术干预成为可能。在这两例病例中,仅在手术期间才做出脓肿的正确诊断,因为临床综合征并未提示这种类型的病变。脑闪烁扫描能够将病变定位在顶叶和枕叶区域;如果病变位于这些区域,血管造影和气脑造影的结果并不总是可靠的。