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目的:研究Sturge-Weber综合征的CT、MRI表现特点,并评价两种检查方法的诊断价值。材料与方法:回顾分析9例Sturge-Weber综合征的临床及影像学资料。全部病例均有面部三叉神经分布区皮肤血管瘤以及同侧颅内相关的病理改变。经CT检查6例,MRI检查3例。结果:CT、MRI显示患侧皮层钙化9例,脑萎缩7例,侧室脉络丛增大3例,颅盖板障增厚5例。增强CT显示脉络丛明显强化2例,钙化灶周围脑回状强化1例。MRI显示侧室脉络丛增大及室管膜下静脉扩张1例。结论:CT和MRI能有效地发现Sturge-Weber综合征的颅内病理改变。在显示皮层钙化灶的存在和范围上,CT优于MRI。但在显示脑实质的其他异常,软脑膜血管瘤畸形和伴发的血管性异常方面,MRI则优于CT。
Objective: To study the CT and MRI features of Sturge-Weber syndrome and to evaluate the diagnostic value of the two methods. Materials and Methods: The clinical and imaging data of 9 cases of Sturge-Weber syndrome were retrospectively analyzed. All patients had facial trigeminal nerve distribution of cutaneous hemangiomas and ipsilateral intracranial pathological changes. The CT examination in 6 cases, MRI examination in 3 cases. Results: CT and MRI showed ipsilateral cortical calcification in 9 cases, brain atrophy in 7 cases, lateral choroid plexus enlargement in 3 cases, and cranial platelet thickening in 5 cases. Enhanced CT showed significant enhancement of the choroid plexus in 2 cases, 1 case of calcification around the brain back enhanced. MRI showed an increase of lateral choroid plexus and subventricular vena cava dilatation in 1 case. Conclusion: CT and MRI can effectively detect intracranial pathological changes of Sturge-Weber syndrome. CT is superior to MRI in showing the presence and extent of cortical calcifications. However, MRI is superior to CT in terms of other abnormalities that manifest brain parenchyma, pial aneurysm malformations, and associated vascular abnormalities.