腦脊髓液鼻漏之術前影像評估－病例報告

The Case Report: Evaluation of Cerebrospinal Fluid Rhinorrhea From Pre-operational Medical Imaging

張鳳怡(Feng-Yi Chang) ； 葉靜政(Jing-Jeng Yeh) ； 朱偉發(Wei-Fa Chu) ； 黃姍姒(Shan-Su Huang) ； 丘成芬(Cheng-Fen Chiu) ； 魏聰文(Jsong-Wen Wei) ； 廖贊傑(Tsan-Chieh Liao) ； 張豐基(Feng-Chi Chang)

《中華放射線技術學雜誌》 36卷4期 (2012/12) Pp. 177-180

https://doi.org/10.30045/CJRT.201212.0001

摘要

此病例為一14歲男孩，因腦脊髓液鼻漏合併反覆性腦膜炎，於其他醫院接受藥物治療，但無法完全控制。外院影像檢查僅發現右側顱骨岩尖部有一懷疑為膽固醇肉芽腫的病灶，因無法確定腦脊髓液鼻漏病灶位置而轉入本院接受評估，術前動態電腦斷層腦池造影術清楚診斷出右側顱底有一起始於右側Meckel's cave並終止於鼻咽部的瘻管，病患定位病灶後，接受手術修補，復原良好並未再復發腦膜炎。

關鍵字

腦脊髓液鼻漏 ； 電腦斷層腦池造影術 ； 核磁共振影像 ； 瘻管

並列摘要

A 14-year-old boy who suffered from cerebrospinal fluid (CSF) rhinorrhea and repeated meningitis treated in other hospitals. Previous computed tomography(CT) and magnetic resonance imaging(MRI) revealed a suspicious cholesterol granuloma located in right petrous apex. As the CSF rhinorrhea aggravated recently and the pathological location was not certained, the patient was transferred to our hospital for further management. Dynamic CT cisternography showed a fistula extending from a focal bony defect of the right petrous tip and right Meckel's cave via the foramen lacerum to the right nasopharynx. The fistula was surgically repaired and the patient was discharged smoothly without recurrent symptoms.

並列關鍵字

CSF rhinorrhea ； dynamic CT cisternography ； MRI ； fistula