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Primary Intraosseous meningiomas of the Skull

时间:2006-03-24 00:01:20  来源:  作者:

L.CHANGHoNG.C.NAlYIN.G.YUEHUAN and Z.LIANZHONG<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

Department of Radiology,Guangdong Provincial Hospital,Guangdong. China

 

Accepted for Publication 29 octobet 1996

 

Meningioma constitutes 14% to 20% of intracranial neoplasms[1].Sites of predilection directly correlate with abundant arachnoid granulations and Iess than l% are extradual intraosseous:parasagittal and falx(5%), convexity (18%),sphenoid ridge(18%),olfactory groove (12%), parasellar (12%), posterior fossa (10%), intraveventicular (2%), intraorbital (1%)[2] and extradural tissues (1%)[3]. Extradural tissue includes the skin, the neck, the paranasal sinuses, the nasal cavities and the diploe of the cranial bones [3-5]. The intraosseous tissue refers to the diploe of the cranial bones.

Plain skull radiographs can detect abnormalities in 30% to 60% of cases, including hyperostosis, thinning of bone, speckled or granular calcification and prominent vascular markings. Angiography demonstrates the presence of symptomatic meningiomas in 95%Of patients and may permit accurate pre-operative diagnosis of meningioma in 70%of patients [3]. The characteristic features include vascular blush as homogeneous sharply maginated opacification and regularly aligned tumour vessels of similar sized calibre[3].

Most meningiomas on CT are homogeneously solid tumours, but foci of necrosis and scarring, cystic degeneration, or areas of heavy lipid storage are identified in 15%. After administration of intravenous contrast medium,there is typically a striking degree of homogeneous enhancementof the tumour mass.

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