颅内血管母细胞瘤MRI表现

    Magnetic resonance imaging features of intracranial hemangioblastomas

    • 摘要: 目的:探讨颅内不同生长部位的血管母细胞瘤MRI表现。方法:对手术及病理证实的16例颅内不同生长部位的血管母细胞瘤MRI表现进行回顾性分析。结果:肿瘤发生于额叶4例,左侧桥小脑角区1例,延髓2例,小脑半球9例;其中12例呈大囊小结节,4例呈实质型;额叶病灶呈大囊小结节型,可见流空血管影,实性成分呈等T1、等T2信号,明显强化;桥小脑角区肿瘤呈不规则的囊状,内有扭曲血管影及不规则的实性成分,呈不规则较明显强化;延髓肿瘤,呈类椭圆形的大囊小结节,内有分隔,实性部分呈明显强化;小脑半球肿瘤呈大囊小结节或实质型,实性部分呈等T1、等T2信号,均见流空血管影,实性部分呈明显强化。结论:颅内不同生长部位的血管母细胞瘤MRI表现均有一定特点,而肿瘤实性成分中的流空血管影是该病较具特征性的MRI征象。

       

      Abstract: Objective: To investigate the magnetic resonance imaging(MRI) features of hemangioblastoma in different encephalic parts.Methods:The data of 16 cases with hemangioblastoma confirmed by surgery and pathology in different encephalic parts were retrospectively analyzed.Results:Four cases in frontal lobe,1 case in left cerebellopontine angle area,2 cases in medulla oblongata and 9 cases in cerebellar hemisphere were found.Twelve cases were large cyst and small nodular type,4 cases were substance type.Frontal lobe lesions were large cyst and small nodular type,many signal voids of vessel in tumor were observed,the enahnced T1 and T2 signals were showed in tumor substance.The cerebellopontine angle lesions were irregular cysts,distorted vascular shadow and irregular substance in tumor were found.Medullary lesions were oval large cyst and small nodular,separations in inside and obvious strengthening were found.Cerebellar hemisphere lesions were large cyst and small nodular or substance type,the enahnced T1 and T2 signals and signal voids of vessel were showed in substance of tumor and solid part was obviously strengthened.Conclusions:The MRI feactures of hemangioblastoma in different encephalic parts have certain characteristics,the signal voids of vessel in tumor lesion is the characterictic feature.

       

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