磁共振（MR）和计算机断层扫描（CT）成像颞叶脑膨出相关性癫痫：图片回顾

IF 2.1 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical radiology Pub Date : 2025-06-07 DOI:10.1016/j.crad.2025.106980

G.N. Cepeda De Jesus , D. Nitz , E. Damisah , A. Mahajan , A. Herlopian , K.C. Vadivelu , R.A. Bronen

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引用次数: 0

摘要

颞叶脑膨出（TLENs）是通过硬脑膜缺陷引起的脑组织疝，通常与颅内压升高、外伤、脑脊液漏和癫痫等疾病有关。TLENs经常被误诊，特别是在癫痫患者中，因为它们在成像上的细微表现和它们位于中颅窝，延迟了这种可手术治疗的疾病的诊断。本文将重点讨论癫痫患者TLENs的典型影像学表现，与癫痫相关的TLENs的典型和不寻常位置，以及特发性颅内高压等相关影像学特征。我们还将讨论一些可能导致误诊的挑战和陷阱，并考虑可能有助于确认诊断的工具和技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Magnetic resonance (MR) and computed tomography (CT) imaging of temporal lobe encephalocele–associated epilepsy: a pictorial review

Temporal lobe encephaloceles (TLENs) are herniations of brain tissue through defects in the dura, often associated with conditions including elevated intracranial pressure, trauma, cerebrospinal fluid leak, and epilepsy. TLENs are frequently underdiagnosed, particularly in epilepsy patients, due to their subtle appearance on imaging and their location in the middle cranial fossa, delaying the diagnosis of this surgically treatable condition. This pictorial review will focus on the typical imaging appearance of TLENs in epilepsy patients, classic and unusual locations of TLENs associated with epilepsy, and related imaging features, such as those of idiopathic intracranial hypertension. We will also discuss some challenges and pitfalls that may lead to misdiagnosis and consider the tools and techniques which may help confirm the diagnosis.

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来源期刊

Clinical radiology 医学-核医学

CiteScore

4.70

自引率

3.80%

发文量

528

审稿时长

76 days

期刊介绍： Clinical Radiology is published by Elsevier on behalf of The Royal College of Radiologists. Clinical Radiology is an International Journal bringing you original research, editorials and review articles on all aspects of diagnostic imaging, including: • Computed tomography • Magnetic resonance imaging • Ultrasonography • Digital radiology • Interventional radiology • Radiography • Nuclear medicine Papers on radiological protection, quality assurance, audit in radiology and matters relating to radiological training and education are also included. In addition, each issue contains correspondence, book reviews and notices of forthcoming events.