Spinal Subdural Enhancement Mimicking Metastases Following Suboccipital Craniotomy
DD Rasalkar, WCW Chu, DYW Siu, BK Paunipagar, HT Wong, XL Zhu
Hong Kong J Radiol 2010;12:162-5
A 14-month-old boy underwent suboccipital craniotomy for cerebellar tumour. Magnetic resonance screening of the spine a day after the craniotomy revealed striking spinal subdural enhancement in the thoraco-lumbar region. The differential diagnosis included subacute subdural haematoma (in view of the recent operation) versus spinal metastases (in a view of the marked enhancement). The enhancement resolved spontaneously within 1 month of the operation. Thus, striking enhancement can occur in patients with subdural haematoma and should not be misinterpreted as a disastrous advanced metastatic disease.
中文摘要
枕骨下開顱術後擬似癌轉移的椎管硬膜下造影強化
DD Rasalkar、朱昭穎、蕭容媛、BK Paunipagar、黃海東、朱獻倫
一名14個月大的男孩因小腦腫瘤而接受枕骨下開顱術。術後一天的磁共振成像掃描顯示胸腰段椎管 硬膜下有明顯造影強化。鑒別診斷包括亞急性硬膜下血腫（由於病人剛接受完開顱術）及椎管癌轉 移（由於有明顯的造影強化）。術後一個月內強化自行緩解。由此可見，硬膜下血腫患者有可能出 現明顯造影強化，但不應把它誤作嚴重的癌轉移病。