脑室内猪囊虫病的CT和MR影像学诊断  

Diagnosis of cysticercosis of cerebral ventricles by CT and MR image

作　　者：张永福[1] 李洪伟[1] 史锡文[1] 宋天才 殷大力[1] 张佳栋[1] 程文兰[1] 毋彩萍[1] 楚功仁[1] 周本立[1] 郭莹[1] 

机构地区：[1]河南省人民医院神经外科

出　　处：《中国神经精神疾病杂志》1995年第3期151-152,共2页Chinese Journal of Nervous and Mental Diseases

摘　　要：报告经手术和病理证实的脑室内猪囊虫病３７例。ＣＴ轴位扫描均表现为脑室不对称性扩大，以囊虫所在的脑室扩大最为明显；增强扫描４例均无强化病灶；Ｉｓｏｖｉｓｔ脑室造影ＣＴ扫描２８例，２７例见脑室内球形低密度充盈缺损，１例导水管以上无占位性病变，导水管以下无造影剂。２例改变体位后复查ＣＴ扫描，充盈缺损病灶位置有改变。３例ＭＲ均表现为第四脑室扩大特别显著，第三脑室和双侧侧脑室扩大。对脑室内猪囊虫病的ＣＴ和ＭＲ影像学特点进行了讨论。Thirty-seven patients with cysticercosis of cerebral ventricles verified by operation and pathological examination are reported. CT scanning showed asymmetric enlargement in ventricle, espedally in the ventricle attacked by cysticercosis. The intensive scanning showed no intensive manifestation in 4 patients. In the 28 patientS who underwent Isovist CT ventriculograpy, spherical low-density filling defeCt in ventricles were found in 27 patients, only in hue patient space occupying lesion above the catheter and contrast medium below catheter were not detected. Among them 2 cases were reexamined with CT scanning after changing posture, and changal of position of filling defect were found. MR showed obvious enlargement in the 4th ventricle, the 3th ventricle and bilateral ventricles. CT and MR features of cysticercosis of cerebral ventricles are discussed in the paper.

关 键 词：脑室猪囊虫病 CT扫描 NMR 成像 诊断 

分 类 号：R532.330.4[医药卫生—内科学]