Menassa L, Haddad S, Aoun N, Slaba S, Atallah N
Department of Radiology, Hôtel-Dieu de France, Beirut, Lebanon.
Eur Radiol. 1997;7(3):365-7. doi: 10.1007/s003300050168.
We report the case of a patient in whom brain MR imaging was requested for initial symptoms of intracranial hypertension. The presence of multiple intracranial hemorrhagic lesions suggested brain metastases. Body screening showed periosteal osteosarcoma of the left fibula with no lung metastases, but with a patent foramen ovale which probably allowed neoplastic cells to reach the brain without being filtered through the lungs. The conclusion of this study was that a left-right cardiac communication is to be considered in cases of isolated brain metastases from osteosarcoma.
我们报告了一例因颅内高压初始症状而接受脑部磁共振成像检查的患者。多个颅内出血性病变提示脑转移瘤。全身筛查显示左腓骨骨膜骨肉瘤，无肺转移，但存在卵圆孔未闭，这可能使肿瘤细胞未经肺部过滤就进入大脑。本研究的结论是，在骨肉瘤孤立性脑转移的病例中应考虑左右心之间的交通。
