Sturge-Weber综合征的影像学表现(附7例报告)
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摘要
目的分析Sturge-Weber综合症的CT、CTA及MRI表现,以提高对该病的认识。方法回顾分析7例SWS患者的CT、CTA及MRI表现。7例患者均行CT平扫检查,其中又行CT增强和CTA检查的分别为2例,行MRI平扫加增强检查的为3例。结果 CT平扫发现7例均有不同程度钙化、脑萎缩,4例可见侧脑室脉络丛扩大及颅骨增厚,6例可见鼻窦炎表现。增强及CTA检查5例均可见脑膜脑回样强化及深静脉迂曲扩张畸形,4例可见脉络丛结节状强化及增厚板障强化,2例可见颜面部血管瘤。结论典型的CT、CTA及MRI影像学表现有助于该病的诊断和指导临床治疗。
Objective To explore the radiological findings of patients with Sturge-Weber syndrome(SWS). Methods Seven cases with Sturge-Weber syndrome were included in this prospective ease series. In these cases,all cases had plain CT scan,2 cases had enhanced CT scan,2 cases had CTA examination,3 cases had both enhanced and plain MRI scan. Results On plain CT scan,cortical gyriform calcifications and brain atrophy were showed in all 7 cases,enlargement of the choroid plexus and hickening of the calvarium were showed in 4 cases,sinusitis were showed in 6 cases. Enhanced and CTA examination showed cerebral piamater enhancement and dilation of the deeper veins in 5 cases,nodular enhancement of ehomid plexus and ealvarium enhancement in 4 cases and facial angioma in 2 cases. Conclusion Typical imaging features on CT,CTA and MRI could help the diagnosis and the clinical treatment of Sturge-Weber syndrome.
Objective To explore the radiological findings of patients with Sturge-Weber syndrome(SWS). Methods Seven cases with Sturge-Weber syndrome were included in this prospective ease series. In these cases,all cases had plain CT scan,2 cases had enhanced CT scan,2 cases had CTA examination,3 cases had both enhanced and plain MRI scan. Results On plain CT scan,cortical gyriform calcifications and brain atrophy were showed in all 7 cases,enlargement of the choroid plexus and hickening of the calvarium were showed in 4 cases,sinusitis were showed in 6 cases. Enhanced and CTA examination showed cerebral piamater enhancement and dilation of the deeper veins in 5 cases,nodular enhancement of ehomid plexus and ealvarium enhancement in 4 cases and facial angioma in 2 cases. Conclusion Typical imaging features on CT,CTA and MRI could help the diagnosis and the clinical treatment of Sturge-Weber syndrome.
引文
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[4]Suskauer SJ,Trovato MK,Zabel TA,et al.Physiatric findings in individuals with Sturge-Weber syndrome[J].American Journal of Physical Medicine&Rehabilitation/Association of Academic Physiatrists,2010,89(4):323.
[5]Aydin A,Akmaki H,Kovanlikaya A,et al.Sturge-Weber syndrome without facial nevus[J].Pediatric Neurology,2000,22(5):400-402.
[6]Comi Al Vl.Sturge-Weber syndrome[J].Handb Clin Neurol,2015,132:157-168.
[7]张军.Sturge-Weber综合征合并双眼先天性白内障一例[J].中国实用眼科杂志,2013,31(1):49.
[8]黄晓星,王志龙,肖学红,等.Sturge-Weber综合征临床分析及影像诊断[J].影像诊断与介入放射学,2015,(1):68-73.
[9]王璐颖,霍然.Sturge-Weber综合征特点及诊断治疗研究进展[J].中国美容整形外科杂志,2016,27(6):329-333
[10]高雪梅,程敬亮,任翠萍,等.Sturge-Weber综合征的影像学诊断(附7例报告及文献复习)[J].中国医师进修杂志,2008,31(5):16-19.
[11]陈志俊,李荻玲,庞刚.Sturge-Weber综合征1例报告[J].广西医科大学学报,2014,31(6):1049-1050.
[12]Wang W,Chen XD,Wang W.Clinical and pathological features of intracranial lesions of Sturge-Weber syndrome:report of 4 cases[J].Diag Pathol,2014,21(3):134-147.
[2]Shirley MD,Tang H,Gallione CJ,et al.Sturge–Weber syndrome and port-wine stains caused by somatic mutation in GNAQ[J].New England Journal of Medicine,2013,368(21):1971-1979.
[3]陈雪芹,陈妮,王晓洁,等.Sturge-Weber综合征一例[J].中华病理学杂志,2006,35(8):503-504.
[4]Suskauer SJ,Trovato MK,Zabel TA,et al.Physiatric findings in individuals with Sturge-Weber syndrome[J].American Journal of Physical Medicine&Rehabilitation/Association of Academic Physiatrists,2010,89(4):323.
[5]Aydin A,Akmaki H,Kovanlikaya A,et al.Sturge-Weber syndrome without facial nevus[J].Pediatric Neurology,2000,22(5):400-402.
[6]Comi Al Vl.Sturge-Weber syndrome[J].Handb Clin Neurol,2015,132:157-168.
[7]张军.Sturge-Weber综合征合并双眼先天性白内障一例[J].中国实用眼科杂志,2013,31(1):49.
[8]黄晓星,王志龙,肖学红,等.Sturge-Weber综合征临床分析及影像诊断[J].影像诊断与介入放射学,2015,(1):68-73.
[9]王璐颖,霍然.Sturge-Weber综合征特点及诊断治疗研究进展[J].中国美容整形外科杂志,2016,27(6):329-333
[10]高雪梅,程敬亮,任翠萍,等.Sturge-Weber综合征的影像学诊断(附7例报告及文献复习)[J].中国医师进修杂志,2008,31(5):16-19.
[11]陈志俊,李荻玲,庞刚.Sturge-Weber综合征1例报告[J].广西医科大学学报,2014,31(6):1049-1050.
[12]Wang W,Chen XD,Wang W.Clinical and pathological features of intracranial lesions of Sturge-Weber syndrome:report of 4 cases[J].Diag Pathol,2014,21(3):134-147.