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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 cases of intracranial swine cysticercosis confirmed by surgery and pathology were reported. CT axial scan showed asymmetric expansion of the ventricle to cysticercosis where the ventricular enlargement is most obvious; enhanced scanning in 4 cases were no enhanced lesions; Isovist ventriculography CT scan in 28 cases, 27 cases of intraventricular low-density filling of spherical defects , 1 case of aqueduct without space-borne lesions above the aqueduct without contrast agent. 2 cases after the change of position review CT scan, fill defect location of lesions have changed. Three cases of MR showed a particularly significant expansion of the fourth ventricle, third ventricle and bilateral lateral ventricle expansion. CT and MR imaging features of intracochlear swine cysticercosis were discussed.