松果体区类圆形影——请分析病变性质

发布时间：2018-07-11 14:20

本文选题：松果体区 + 病理征阴性　；参考：《临床放射学杂志》2015年12期

【摘要】：正患者男,20岁。因头疼伴视物模糊10余天入院。体检:神智清楚,语言流利,双侧瞳孔等大等圆,四肢肌力V级,肌张力正常,病理征阴性。MRI:松果体区可见类圆形混杂T1、混杂T2信号(图1~3),DWI呈稍高信号(图4),大小约35.7mm×30.9 mm×31.2 mm,中脑导水管受压变窄,幕上脑室明显扩大,中线结构居中。增强扫描病灶呈轻度不均匀强化,内见低信号无强化区(图5、6)。请分析病变性质。答案见第2026页。
[Abstract]:There were more than 10 days in the male and 20 years old . Medical examination : It is clear , fluent in language , large in bilateral pupil and so on , V grade of muscle force of limbs , normal muscle tone and negative pathological sign . MRI shows that there are round mixed T1 , mixed T2 signal ( Fig . 1 ~ 3 ) , DWI is slightly higher ( Fig . 4 ) , the size is about 350.7mm 脳 30.9 mm 脳 31.2mm , the middle cerebral aqueduct is narrowed , the supratentorial cerebral ventricle is obviously enlarged , and the middle line structure is centered .
【作者单位】：长江航运总医院武汉脑科医院影像科;
【分类号】：R739.4;R445.2

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