【摘要】：目的分析顱內神經節(jié)細胞膠質瘤的臨床、病理及MRI表現。方法收集我院經病理確診顱內神經節(jié)細胞膠質25例,分析病灶部位、數量、平掃及增強信號特點、瘤周水腫情況,以探析MRI影像特點。結果 25例患者中,22例為癲癇發(fā)作,其中19例以癲癇為唯一臨床表現、3例為失神發(fā)作。2例為囊性、10例為囊實性、13例為實性。T1WI上囊性患者以低信號為主,實性患者以等信號或稍低信號為主,囊實性患者兩類信號兼有。T2WI上囊性患者以高信號為主,實性患者為等信號或稍高信號,囊實性患者兩類信號兼有。增強掃描囊性患者無強化,實性患者以輕度強化為主,囊實性患者以明顯強化及輕度強化為主。1例無水腫、15例輕度水腫、4例中度水腫、5例重度水腫。結論顱內神經節(jié)細胞膠質瘤多以癲癇發(fā)作為主,可分為囊性、囊實性及實性3種類型,不同類型患者具有不同MRI表現,結合病理特點可為臨床診治提供指導。
[Abstract]:Objective to analyze the clinical, pathological and MRI features of intracranial ganglion cell glioma. Methods 25 cases of glia of intracranial ganglion cells confirmed by pathology in our hospital were collected. The location, quantity, signal characteristics of plain scan and enhancement, and edema around the tumor were analyzed in order to analyze the imaging features of MRI. Results among the 25 cases, 22 cases were epileptic seizures, 19 cases were epileptic, 3 cases were aphasia, 2 cases were cystic, 10 cases were solid, 13 cases were solid. The signal intensity of solid patients was equal or slightly low, the two kinds of signals were both in patients with cystic solid, high signal in cystic patients on T2WI, equal or slightly high signals in patients with solid, and both kinds of signals in patients with cystic and solid. Enhancement scan showed no enhancement in cystic patients, mild enhancement in solid patients, obvious enhancement and mild enhancement in cystic and solid patients, and no edema in 1 case, mild edema in 15 cases, moderate edema in 4 cases and severe edema in 5 cases. Conclusion Intracranial ganglion cell gliomas are mainly epileptic, which can be divided into three types: cystic, solid and solid. Different types of gliomas have different MRI manifestations, which can provide guidance for clinical diagnosis and treatment combined with pathological features.
【作者單位】： 湖北省枝江市人民醫(yī)院影像科;
【分類號】：R739.41;R445.2

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