대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제64권5호
  • /
  • Pages.439-443
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  • 2011
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  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지

추체첨부 두류: 2예 보고와 문헌 고찰

Petrous Apex Cephalocele: Report of Two Cases and Review of the Literature

  • 정보성 (인제대학교 서울백병원 영상의학과) ;
  • 이기재 (인제대학교 서울백병원 영상의학과) ;
  • 심재찬 (인제대학교 서울백병원 영상의학과) ;
  • 이재명 (인제대학교 서울백병원 영상의학과) ;
  • 남미영 (인제대학교 서울백병원 영상의학과) ;
  • 김호균 (인제대학교 서울백병원 영상의학과)
  • Jeong, Bo-Seong (Department of Diagnostic Radiology, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Lee, Ghi-Jai (Department of Diagnostic Radiology, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Shim, Jae-Chan (Department of Diagnostic Radiology, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Lee, Jae-Myeong (Department of Diagnostic Radiology, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Nam, Mee-Young (Department of Diagnostic Radiology, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Kim, Ho-Kyun (Department of Diagnostic Radiology, Seoul Paik Hospital, Inje University College of Medicine)
  • 발행 : 2011.05.01
⟨ 이전 논문 다음 논문 ⟩

초록

추체첨부 두류는 추체첨부에 생기는 드문 질환으로, 우연히 발견될 수도 있지만 제 5뇌신경증이나 뇌척수액의 유출과 같은 여러 가지 임상증상을 보이기도 한다. 이 병변은 추체첨부를 침범하는 병적 질환으로 오인될 수도 있으나 특징적인 영상의학적 소견이 이 두 병변을 감별하는 데에 도움을 줄 수 있으며, 그로 인하여 필요 없는 치료를 피할 수 있다. 저자들은 최근 2예의 추체첨부 두류를 경험하였기에, 문헌고찰과 함께 CT 및 MRI소견을 보고하는 바이다.

A petrous apex cephalocele is a rare lesion of the petrous apex. It can be discovered incidentally or can cause a suite of clinical problems, such as trigeminal neuralgia or cerebrospinal fluid leakage. Although this lesion can be misinterpreted as a pathologic lesion, the characteristic radiologic features can provide the diagnostic clue for distinguishing these two lesions and avoid unnecessary treatment. Here we present CT and MRI finding of petrous apex cephalocele in two patients with review of the literature.

키워드

참고문헌

  1. Muckle RP, De la Cruz A, Lo WM. Petrous apex lesions. Am J Otol 1998;19:219-225
  2. Isaacson B, Kutz JW, Roland PS. Lesions of the petrous apex: diagnosis and management. Otolaryngol Clin North Am 2007;40:479-519 https://doi.org/10.1016/j.otc.2007.03.003
  3. Alorainy IA. Petrous apex cephalocele and empty sella: is there any relation? Eur J Radiol 2007;62:378-384 https://doi.org/10.1016/j.ejrad.2007.01.010
  4. Moore KR, Fischbein NJ, Harnsberger HR, Shelton C, Glastonbury CM, White DK, et al. Petrous apex cephalocele. AJNR Am J Neuroradiol 2001;22:1867-1871
  5. Achilli V, Danesi G, Caverni L, Richichi M. Petrous apex arachnoid cyst: a case report and review of the literature. Acta Otorhinolaryngo Ital 2005;25:296-300
  6. Isaacson B, Coker NJ, Vrabec JT, Yoshor D, Oghalai JS. Invasive cerebrospinal fluid cysts and cephaloceles of the petrous apex. Otol Neurotol 2006;27:1131-1141 https://doi.org/10.1097/01.mao.0000244353.26954.71
  7. Batra A, Tripathi RP, Singh AK, Tatke M. Petrous apex arachnoid cyst extending into Mecke's cave. Australas Radiol 2002;46:295-298 https://doi.org/10.1046/j.1440-1673.2002.01063.x
  8. Motojima T, Fujii K, Ishiwada N, Takanashi J, Numata O, Uchino Y, et al. Recurrent meningitis associated with a petrous apex cephalocele. J Child Neurol 2005;20:168-170 https://doi.org/10.1177/08830738050200021801
  9. Sage MR, Blumbergs PC. Primary empty sella turcica: a radiological-anatomical correlation. Australasian Radiology 2000;44:341-348 https://doi.org/10.1046/j.1440-1673.2000.00828.x
  10. Moore KR, Harnsberger HR, Shelton C, Davidson HC. "Leave me alone" lesions of the petrous apex. AJNR Am J Neuroradiol 1998;19:733-738