目的:探讨后颅窝血管母细胞瘤MRI表现,提高对本病的诊断水平。方法:回顾性分析经手术及病理证实的后颅窝血管母细胞瘤58例的MRI表现。结果:58 例 68 个病灶,囊性病灶 48 个,典型表现为大囊伴富血供附壁小结节,壁结节常位于靠近脑表面壁上。实质型20个,肿瘤组织在 T1WI常呈略低或等信号,T2WI明显高信号,瘤内或瘤周可见异常扩张血管流空信号。增强扫描有助于病灶检出和定性诊断。结论:后颅窝血管母细胞瘤 MRI表现具有特征性,术前诊断是可能的,但需与毛细胞型星形细胞瘤、脑膜瘤、转移瘤、脑动静脉畸形鉴别。
Objective:To investigate the MRI findings of posterior fossa hemangioblastomas and to improve the diagnosis ability for this disease.Methods:The MRI findings of 58 patients verified by surgery and pathology were analyzed retrospectively. Results:Among 58 cases of hemangioblastomas (68 lesions) cases there were cyst type in 48 cases and solid type in 20 cases.Large cyst with a small hypervascular mural nodule which often abutted on brain surface were the characteristic manifestation of the cyst type.Singal intensity of solid type was slight hypointense or isointense on T 1WI,and marked hyperintense on T 2WI.Unusual enlarged vascular flow void signals within or around the tumors also could be seen.Contrast-enhanced scan was helpful in detection of the lasion and characterization of the disease.Conclusion:MRI findings of posterior fossa hemangioblastomas are characteristic and the disease can be preoperatively diagnosed,but it should be differentiated from pilocytic astrocytoma,meningioma,metastasis and arterovenous malformation (AVM).