[The value of magnetic resonance imaging in the diagnosis of spinal cord hemangioblastoma. Apropos of 12 cases].
This study concerned a series of 12 patients, 4 of whom had Von Hippel-Lindau disease. Six of these patients were explored by myelography, 6 by spinal cord angiography, 8 by CT scan with contrast injection and 12 by MRI, with gadolinium injection in 8. MRI proved to be the choice examination for the diagnosis of spinal cord tumor, but gadolinium injection was necessary since it made it possible to detect the tumoral bud and its intense enhancement. The absence of gadolinium injection led us to an erroneous initial diagnosis of syringomyelia in two patients and glioma in one. Sagittal sections made it easier to evaluate the tumoral extension in patients with evidence or suspicion of Von Hippel-Lindau disease. Arteriography was indicated, as it provided a preoperative map and diagnosed punctiform lesions.
Sonier
C B
CB
Hospital G et R Laënnec, Neuroradiologie, Nantes.
De Kersaint-Gilly
A
A
Resche
F
F
Halimi
P
P
Bouyssou
A
A
Bricout
J H
JH
D000328:Adult; D000368:Aged; D000792:Angiography; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D005682:Gadolinium; D005910:Glioma / Q000175:diagnosis; D018325:Hemangioblastoma / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D007089:Image Enhancement; D007454:Iodides; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009192:Myelography; D013120:Spinal Cord Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D013595:Syringomyelia / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D006623:von Hippel-Lindau Disease / Q000150:complications
D003287:Contrast Media; D007454:Iodides; D005682:Gadolinium