Gadolinium-DTPA enhancement of dural structures on MRI after surgery.

M Suzuki, T Takashima, M Kadoya, F Ueda, T Yamashima, J Yamashita
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引用次数: 2

Abstract

Gadolinium-DTPA enhanced MRI was examined before and after surgery in 14 patients with particular attention to the enhancement of falx cerebri, tentorium cerebelli and dura mater. A marked enhancement was observed in 2 falx and 2 tentorium before surgery, whereas it was observed in 7 falx, 9 tentorium and 11 dura after surgery. Among 6 falx, 7 tentorium and 12 dura showing increased enhancement after surgery, 2 falx, 3 tentorium and 8 dura showed marked enhancement which was not observed before surgery. A small amount of subdural haemorrhage during surgery is known to heal as subdural neomembrane with capillaries. An increased enhancement of dural structures conceivably derives from the extravasation of Gd-DTPA through capillaries involved in the subdural neomembrane. In the postoperative MRI, the enhancement of dural structures should be taken into consideration.

术后硬脑膜结构的MRI钆- dtpa增强。
对14例患者进行术前、术后钆- dtpa增强MRI检查,重点观察脑镰、小脑幕和硬脑膜的增强。术前2个镰、2个幕明显增强,术后7个镰、9个幕、11个硬膜明显增强。6个镰、7个幕、12个硬脑膜术后增强,2个镰、3个幕、8个硬脑膜术前未见明显增强。手术中少量的硬膜下出血被称为有毛细血管的硬膜下新膜。硬膜结构的增强可能是由于Gd-DTPA通过涉及硬膜下新膜的毛细血管外渗。术后MRI应考虑硬脑膜结构的增强。
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