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计算机断层扫描在桥小脑角肿瘤诊断中的应用

Computer tomography in the diagnosis of cerebellopontine angle tumours.

作者信息

Gyldensted C, Lester J, Thomsen J

出版信息

Neuroradiology. 1976 Jul 30;11(4):191-7. doi: 10.1007/BF00346078.

Abstract

53 patients clinically suspected of having a cerebellopontine angle (CPA) lesion were examined by computer tomography (CT) with 160 X 160 matrix EMI scanner. 17 cases (32%) had tumour positive CT, of which 12 were neurinomas and 1 meningioma. 1 CT suggestive of a CPA lesion was false positive and 1 unoperated case is probably a false negative CT. Three of the eleven verified neurinomas (27%) were of the medial type originating in the angle cistern. One neurinoma protruding 1 cm into the cistern showed no contrast enhancement. 2 CT scans (3.8%) were unsatisfactory due to movements and the large size of the head. CT is valuable for the investigation of CPA pathology and the diagnostic efficiency compares favourably to other neuroradiological procedures.

摘要

53例临床怀疑患有桥小脑角(CPA)病变的患者,使用160×160矩阵的EMI扫描仪进行了计算机断层扫描(CT)检查。17例(32%)患者CT检查发现肿瘤阳性,其中12例为神经鞘瘤,1例为脑膜瘤。1例CT提示CPA病变为假阳性,1例未手术的病例可能为CT假阴性。11例经证实的神经鞘瘤中有3例(27%)为起源于角池的内侧型。1例突入脑池1厘米的神经鞘瘤未显示对比增强。2例CT扫描(3.8%)因患者移动和头部尺寸较大而不满意。CT对于桥小脑角病变的检查很有价值,其诊断效率与其他神经放射学检查方法相比具有优势。

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