Ikeda K, Hatanaka N, Kinoshita M, Kuwajima A
Fourth Department of Internal Medicine, University Ohashi Hospital, Tokyo, Japan.
No To Shinkei. 1998 May;50(5):459-62.
We report a 86-year-old woman who has been diagnosed as cerebral venous angioma by slow velocity-encoding phase contrast magnetic resonance angiography (MRA). She had developed headache for one month. T1- and T2-weighted images showed a flow void sign in the right cerebellum with gadolinium enhancement. MRA using time-of-flight sequence revealed no abnormal vascular structures. Conventional phase contrast MRA (velocity encode, 40 or 60 cm/sec) did not disclose obvious vascular abnormalities. However, slow velocity-encoding (20 cm/sec) phase contrast MRA demonstrated a well-demarcated venous angioma in the right transverse sinus. Our results of MRAs suggest that velocity encode is a crucial factor for detection of venous angioma on phase contrast MRA. Slow velocity-encoding phase contrast MRA is a beneficial tool for evaluation of venous malformations, such as venous angioma.
我们报告一名86岁女性,其经慢速速度编码相位对比磁共振血管造影(MRA)诊断为脑静脉血管瘤。她头痛一个月。T1加权和T2加权图像显示右侧小脑有血流空洞征,钆增强。使用飞行时间序列的MRA未显示异常血管结构。传统的相位对比MRA(速度编码,40或60 cm/秒)未发现明显的血管异常。然而,慢速速度编码(20 cm/秒)相位对比MRA显示右侧横窦有界限清楚的静脉血管瘤。我们的MRA结果表明,速度编码是相位对比MRA检测静脉血管瘤的关键因素。慢速速度编码相位对比MRA是评估静脉畸形(如静脉血管瘤)的有益工具。