Deisenhammer E, Gund A, Hammer B
Neurochirurgia (Stuttg). 1977 Jul;20(4):99-105. doi: 10.1055/s-0028-1090361.
In order to increase the accuracy of preoperative "type-diagnosis" fifty meningiomas in various sites were investigated by brain-scan, and routine angiography. Some cases in addition had external carotid angiography and angioscintigraphy of the external and internal carotid. By tabulating the findings, it is possible in 90% of cases to provide a pre-operative "type-diagnosis" of meningioma. Details are given regarding the influence of the tumour site on the ability to demonstrate the tumour through branches of the external or internal carotid, as well as "filling defects" or isotope uptake in angioscintigraphy. The reasons are discussed for the lack of agreement about the size of the tumour, in angiogram and angioscintigram, as well as in the brain-scan, in 15 out of 34 meningiomas.
为提高术前“分型诊断”的准确性，对50例不同部位的脑膜瘤进行了脑部扫描和常规血管造影检查。部分病例还进行了颈外动脉造影以及颈外和颈内动脉的血管闪烁造影。通过将检查结果列表分析，90%的病例能够在术前对脑膜瘤进行“分型诊断”。文中详细阐述了肿瘤部位对通过颈外或颈内动脉分支显示肿瘤的能力的影响，以及血管闪烁造影中的“充盈缺损”或同位素摄取情况。还讨论了34例脑膜瘤中有15例在血管造影、血管闪烁造影以及脑部扫描中肿瘤大小不一致的原因。
