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本文报道31例经手术和病理证实的颅内海绵状血管瘤的主要临床和神经放射学表现。并讨论了本病的临床、放射表现与病理所见的关系,放射检查的诊断价值以及放射表现和治疗的关系。本病多见于中年女性,起于硬膜外中颅凹者多见,根据CT平扫为等密度、高密度、注射对比剂后显著均匀增强结合脑血管造影表现可以作出定性诊断。对于皮质下CT表现不典型的病例,应结合脑血管造影改变考虑到本病的可能,最后根据放射表现提出手术和放射治疗的选择。
This article reports the main clinical and neuroradiological manifestations of 31 cases of intracranial cavernous hemangiomas confirmed by surgery and pathology. And discussed the clinical, radiological and pathological findings of the disease, the diagnostic value of radiological examination and the relationship between radiological manifestations and treatment. The disease is more common in middle-aged women, from the epidural in the crescent were more common, according to CT scan for the same density, high density, significantly enhanced after injection of contrast agent combined with cerebral angiography can make a qualitative diagnosis. Case of atypical cortical CT performance should be combined with cerebral angiography to take into account the possibility of this disease, and finally based on the performance of radiation surgery and radiotherapy options.