脊柱血管内皮细胞瘤一例

发布时间：2018-05-05 04:01

本文选题：血管肉瘤 + 体层摄影术　；参考：《放射学实践》2015年10期

【摘要】：正病例资料患者,男,55岁,于2个月前无明显诱因出现胸部疼痛,呈刀割样,难以耐受,服用止痛药后缓解。患者于1个月前出现双侧肋骨下缘及下肢麻木,当地医院以脊髓血管病治疗后无效,遂转入我院。专科查体:胸1、2椎体棘突压痛明显,实验室检查阴性。影像学表现:CT表现为胸2椎体及附件膨胀性骨质破坏,椎管稍变窄(图1、2);MR表现为胸2椎体及附件稍膨胀见不规则片状长T1、长T2、STIR高信号,相应水平椎管狭窄,脊髓受压,脊髓内未见明显异常信号,T1WI增强扫描病变呈显著均匀强化,周围可见软组织包块(图3~)。术中所见:于颈
[Abstract]:The patient, 55 years old, had no obvious cause of chest pain 2 months ago. The patient developed bilateral numbness of lower rib and lower extremity one month ago, but the local hospital failed after treatment of spinal vascular disease, so it was transferred to our hospital. Specialized physical examination: thoracic 1 and 2 vertebrae spinous process tenderness obvious, laboratory test negative. The imaging findings were as follows: thoracic 2 vertebral body and accessory expansive bone destruction, spinal canal narrowing slightly (fig. 1). Mr showed irregular long T 1, long T 2 T 2 high signal intensity, corresponding horizontal spinal stenosis and compression of spinal cord. There was no obvious abnormal signal intensity in the spinal cord. The lesions were enhanced uniformly on T _ 1WI and soft tissue masses were seen around the spinal cord (Fig. 3). Intraoperative findings: at the neck
【作者单位】：解放军第三医院影像科;
【分类号】：R738;R730.44;R445.2

【相似文献】