脑桥毛细血管扩张症一例
摘要
<正>病例资料男,48岁,因体检头部MRI检查发现脑桥异常信号3个月余,无异常临床表现。MRI检查:初次头部MRI示(图1)脑桥斑片状T1WI稍低、T2WI稍高信号影,于FLAIR上呈等信号,增强扫描后病灶呈轻度强化,DWI上呈低信号,ADC上呈稍高信号,病灶边缘尚清晰,其内信号较均匀,直径约1.0 cm。3个月后复查头部MRI示(图2a～e)脑桥斑片状T1WI稍低信号、T2WI稍高信号影,于FLAIR上呈等信号,于SWI上呈低信号,病灶边缘尚清晰,直径约1.0 cm,MRA示颅内大血管形态及走行未见明显异常。
引文
[1]El-Koussy M, Schroth G, Gralla J, et al. Susceptibility-weighted MR imaging for diagnosis of capillary telangiectasia of the brain. Am J Neuroradiol, 2012,33:715-720.
[2]Blackwood W. Two cases of benign cerebral telangiectasis.Journal of Pathology&Bacteriology, 1941,52:209-212.
[3]Gross BA, Puri AS, Popp AJ, et al. Cerebral capillary telangiectasias:a meta-analysis and review of the literature.Neurosurg Rev, 2013,36:187-193.
[4]Orgun LT, Arhan E, Aydin K, et al. Symptomatic capillary telangiectasia of the pons:three pediatric cases diagnosed by suspectibility-weighted imaging. Childs Nerv Sys, 2016, 32:2261-2264.
[5]Sayama CM, Osborn AG, Chin SS, et al. Capillary telangiectasias:clinical, radiographic, and histopathological features. Clinical article. J Neurosurg, 2010,113:709-714.
[6]Beukers RJ, Roos YB. Pontine capillary telangiectasia as visualized on MR imaging causing a clinical picture resembling basilar-type migraine:a case report. J Neurol, 2009,256:1775-1777.
[7]Scaglione C, Salvi F, Riguzzi P, et al. Symptomatic unruptured capillary telangiectasia of the brain stem:report of three cases and review of the literature. J Neurol Neurosurg Psychiatry,2001,71:390-393.
[8]Morinaka S, Hidaka A, Nagata H. Abrupt onset of sensorineural hearing loss and tinnitus in a patient with capillary telangiectasia of the pons. Ann Otol Rhinol Laryngol, 2002,111:855-859.
[9]孙璇,孙慧,金迪,等.脑桥毛细血管扩张症合并Meige综合征一例.中国现代神经疾病杂志, 2018,18:142-147.
[10]Lee RR, Becher MW, Benson ML, et al. Brain capillary telangiectasia:MR imaging appearance and clinicohistopathologic findings. Radiology, 1997,205:797-805.
[11]Lee BC, Vo KD, Kido DK, et al. MR high-resolution blood oxygenation level-dependent venography of occult(low-flow)vascular lesions. Am J Neuroradiol, 1999,20:1239-1242.
[12]Yoshida Y, Terae S, Kudo K, et al. Capillary telangiectasia of the brain stem diagnosed by susceptibility-weighted imaging. J Comput Assist Tomogr, 2006,30:980-982.
[13]Finkenzeller T, Fellner FA, Trenkler J, et al. Capillary telangiectasias of the pons. Does diffusion-weighted MR increase diagnostic accuracy? Eur J Radiol, 2010,74:e112-e116.
[14]王新会,李素英,王红波.颅内毛细血管扩张症MRI影像学特征.临床医学, 2014,34:95-96.
[15]杨蕊,闫凤全,姬士军.磁共振SWI和DWI扫描序列诊断颅内海绵状血管瘤的效果比较.实用医药杂志, 2014,31:691-693.
[16]韩建秀,蔺鸿儒,张建兵. 1.5T磁共振DWI及SWI序列对颅内多发海绵状血管瘤诊断比较.医学影像学杂志,2016,26:1921-1923.
[17]Fazekas F, Kleinert R, Roob G, et al. Histopathologic analysis of foci of signal loss on gradient-echoT2*-weighted MR images in patients with spontaneousintracerebral hemorrhage:evidence of microangiopathy-relatedmicrobleeds. Am J Neuroradiol, 1999,20:637-642.
[18]杨正汉,冯逢,王霄英,等.磁共振成像技术指南.北京:人民军医出版社, 2007:324-327.
[19]毛颖盈,严慎强,楼敏.颅内微出血的影像——病理联系及机制研究现状.中国卒中杂志, 2015,10:872-877.
[20]Shovlin CL, Guttmacher AE, Buscarini E, et al. Diagnostic criteria for hereditary hemorrhagic telangiectasia(Rendu-OslerWeber syndrome). Am J Med Genet, 2000,91:66-67.
[21]Woodall MN, McGettigan M, Figueroa R, et al. Cerebral vascular malformations in hereditary hemorrhagic telangiectasia.J Neurosurg, 2014,120:87-92.
[2]Blackwood W. Two cases of benign cerebral telangiectasis.Journal of Pathology&Bacteriology, 1941,52:209-212.
[3]Gross BA, Puri AS, Popp AJ, et al. Cerebral capillary telangiectasias:a meta-analysis and review of the literature.Neurosurg Rev, 2013,36:187-193.
[4]Orgun LT, Arhan E, Aydin K, et al. Symptomatic capillary telangiectasia of the pons:three pediatric cases diagnosed by suspectibility-weighted imaging. Childs Nerv Sys, 2016, 32:2261-2264.
[5]Sayama CM, Osborn AG, Chin SS, et al. Capillary telangiectasias:clinical, radiographic, and histopathological features. Clinical article. J Neurosurg, 2010,113:709-714.
[6]Beukers RJ, Roos YB. Pontine capillary telangiectasia as visualized on MR imaging causing a clinical picture resembling basilar-type migraine:a case report. J Neurol, 2009,256:1775-1777.
[7]Scaglione C, Salvi F, Riguzzi P, et al. Symptomatic unruptured capillary telangiectasia of the brain stem:report of three cases and review of the literature. J Neurol Neurosurg Psychiatry,2001,71:390-393.
[8]Morinaka S, Hidaka A, Nagata H. Abrupt onset of sensorineural hearing loss and tinnitus in a patient with capillary telangiectasia of the pons. Ann Otol Rhinol Laryngol, 2002,111:855-859.
[9]孙璇,孙慧,金迪,等.脑桥毛细血管扩张症合并Meige综合征一例.中国现代神经疾病杂志, 2018,18:142-147.
[10]Lee RR, Becher MW, Benson ML, et al. Brain capillary telangiectasia:MR imaging appearance and clinicohistopathologic findings. Radiology, 1997,205:797-805.
[11]Lee BC, Vo KD, Kido DK, et al. MR high-resolution blood oxygenation level-dependent venography of occult(low-flow)vascular lesions. Am J Neuroradiol, 1999,20:1239-1242.
[12]Yoshida Y, Terae S, Kudo K, et al. Capillary telangiectasia of the brain stem diagnosed by susceptibility-weighted imaging. J Comput Assist Tomogr, 2006,30:980-982.
[13]Finkenzeller T, Fellner FA, Trenkler J, et al. Capillary telangiectasias of the pons. Does diffusion-weighted MR increase diagnostic accuracy? Eur J Radiol, 2010,74:e112-e116.
[14]王新会,李素英,王红波.颅内毛细血管扩张症MRI影像学特征.临床医学, 2014,34:95-96.
[15]杨蕊,闫凤全,姬士军.磁共振SWI和DWI扫描序列诊断颅内海绵状血管瘤的效果比较.实用医药杂志, 2014,31:691-693.
[16]韩建秀,蔺鸿儒,张建兵. 1.5T磁共振DWI及SWI序列对颅内多发海绵状血管瘤诊断比较.医学影像学杂志,2016,26:1921-1923.
[17]Fazekas F, Kleinert R, Roob G, et al. Histopathologic analysis of foci of signal loss on gradient-echoT2*-weighted MR images in patients with spontaneousintracerebral hemorrhage:evidence of microangiopathy-relatedmicrobleeds. Am J Neuroradiol, 1999,20:637-642.
[18]杨正汉,冯逢,王霄英,等.磁共振成像技术指南.北京:人民军医出版社, 2007:324-327.
[19]毛颖盈,严慎强,楼敏.颅内微出血的影像——病理联系及机制研究现状.中国卒中杂志, 2015,10:872-877.
[20]Shovlin CL, Guttmacher AE, Buscarini E, et al. Diagnostic criteria for hereditary hemorrhagic telangiectasia(Rendu-OslerWeber syndrome). Am J Med Genet, 2000,91:66-67.
[21]Woodall MN, McGettigan M, Figueroa R, et al. Cerebral vascular malformations in hereditary hemorrhagic telangiectasia.J Neurosurg, 2014,120:87-92.