一位65歲肺癌患者來院接受磁振造影檢查是否有大腦轉移,經對比劑顯影的T1加權影像中發現在橋腦部位有一顯影的小病灶,此病灶在T2梯度迴訊影像呈現低訊號,但傳統T1/T2加權影像皆不可見。磁敏感加權影像中呈現明顯低訊號,並有一小延續訊號疑為引流靜脈。診斷為毛細血管擴張或過渡型毛細血管-靜脈畸形。就我們所知,腦內毛細血管擴張鮮少以磁敏感加權影像來報告。
A 65-year-old lung cancer patient was screened for intracranial metastases. Post-gadolinium enhanced T1-weighted imaging revealed a small enhancing pontine lesion slightly hypointense on T2(superscript *)-weighted gradient echo, invisible on T1-/T2-weighted imaging. Susceptibility-weighted imaging (SWI) showed marked hypointensity; a small linear hypointensity extension suggested a draining vein. Capillary telangiectasia or transitional capillary-venous malformation was diagnosed. To the best of our knowledge, brain capillary telangiectasia rarely has been previously reported by SWI.