下内内内皮醇沉积物 下内内内内
Tom Saliba1, Sanjiva Pather1, Olivier Cappeliez1
1Radiology, Hôpital de Braine-L'Alleud, Braine-L'Alleud, BEL.
Cureus
|July 29, 2024
概括
偶然的大脑成像发现,在一个93岁的老人身上发现了罕见的内利波多尔沉积物,几十年后,过去的一次骨髓学手术. 这凸显了患者病史对于诊断这些不常见的无症状发现的重要性.
科学领域:
- 放射学 放射学是一门学科.
- 神经学 神经学
- 医疗成像医学成像
背景情况:
- 基于油的对比剂Lipiodol在放射学中广泛使用,直到20世纪80年代.
- 由于吸收缓慢,无症状的Lipiodol沉积物可能偶尔会持续存在.
- 以前的并发症导致其被水溶性对比介质所取代.
研究的目的:
- 报告一个罕见的内Lipiodol沉积的案例.
- 强调患者病史在识别偶然的Lipiodol沉积中的诊断意义.
主要方法:
- 一个93岁的男性在跌倒后呈现的病例报告.
- 非对比的头部CT检测出了脑下空间中的高密度滴.
- 之前的骨盆X射线和患者病史的审查证实了之前的Lipiodol骨髓图.
主要成果:
- 在头部CT上偶然发现了大脑下大脑关节空间中的众多高密度滴.
- 在之前的骨盆X射线上,在马尾周围发现了类似的沉积物.
- 患者病史显示,51年前进行的Lipiodol骨髓造影显示,患者病史显示,51年前进行的Lipiodol骨髓造影显示,51年前进行的Lipiodol骨髓造影显示,51年前进行的Lipiodol骨髓造影显示,51年前进行的Lipiodol骨髓造影显示,51年前进行的Lipiodol骨髓造影显示,51年前进行的Lipiodol骨髓造影显示,51年前进行的Lipiodol骨造影显示,51年前进行的Lipiodol骨造影显示,51年前进行的Lipiodol骨造影显示,51年前进行的Lipiodol骨造影显示,51年前进行的Lipiodol骨造影显示,51年前进行的Lipiodol骨造影显示,51年前进行的Lipiodol骨造影显示.
结论:
- 内Lipiodol沉积非常罕见,通常在腰部地区发现.
- 图像特征包括放射性无光滴 (X射线),超密度滴 (CT) 和超T1信号 (MRI).
- 诊断依赖于将成像检测结果与20世纪80年代之前患者骨髓图详细病史的相关性.
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