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Curvilinear calcification suggests an aneurysm but is a less specific finding because it can also occur in craniopharyngiomas and sphenoidal masses. The intense enhancement of the residual lumen is relatively specific, but differentiation from other masses may be difficult on CT scans depending on the timing and degree of vascular enhancement. The MR imaging features are usually diagnostic, although they can be very subtle [2]. Significant signal heterogeneity is seen with T1 hyperintense signal due to subacute thrombus or flow related enhancement. Areas of T2 hypointensity can be seen due to intracellular deoxy or methemoglobin, calcification, or flow void.

线样钙化提示动脉瘤,但不是一个非常特异的征像,因为这也可以见于颅咽管瘤和蝶骨肿瘤,管腔样明显强化更特异些,但是在CT上与其他肿瘤鉴别可能是困难的,因为这取决与增强的时间与血管强化的程度,MR的特征性表现是更具有诊断意义的,即使有时候可能表现的非常细微,在T1上可以看到明显的不同信号成分,这是由于亚急性的血栓或流动相关增强效应,T2序列上可以看到低信号区域,这是由于细胞内脱氧或高铁血红蛋白,钙化,或流空效应。

It is believed that the right operation approach and microsurgical technique is helpful to the treatment of sphenoidal ridge meningioma.

采用适当的手术入路及显微神经外科技术和方法,可最大限度的减轻脑组织,颅神经及血管的损伤,大多数蝶骨嵴脑膜瘤可取得满意的疗效。

Moreover, the perpendicular distances from the temples and the highest point, where the nerve enters the frontal muscle, of the frontal branch of the facial nerve to the FP line were recorded as well. Results On the AE line, the facial nerve went across the anterior portion inside the hairline (39.3 mm anterior to the otobasion superius).

以蝶骨嵴根部的体表投影为中心,作起于鬓角,沿发际前缘弧形向下,止于耳上基点前39 mm,位于发际内的长约5 cm的翼点锁孔入路切口,是不损伤面神经的理想切口。

along the hairline, one arc-shaped incision about 5 cm in length with a center at the surface projecting point of the sphenoid ridge root, extending from the temples to the point 39 mm anterior to the otobasion superius, is an ideal skin incision via the pterional keyhole approach with intact frontal facial nerve.

以蝶骨嵴根部的体表投影为中心,作起于鬓角,沿发际前缘弧形向下,止于耳上基点前39 mm,位于发际内的长约5 cm的翼点锁孔入路切口,是不损伤面神经的理想切口。

OBJECTIE: The widespread use of the endoscope in transsphenoidal pituitary surgery has recently contributed to the extension of the approach beyond the tuberculum sellae and planum sphenoidale for the management of lesions located in the suprasellar area, either with an endoscope-assisted or purely endoscopic technique.

目的:近年来,经蝶垂体腺瘤手术中内窥镜的广泛应用有助于将该入路向鞍结节和蝶骨平台扩大,应用内窥镜辅助技术或单纯内窥镜技术,可用来治疗位于鞍上区的病变。

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