Incidental findings in brain computed tomography scans of 3000 head trauma patients

Hossein Eskandary MD , Mohammad Sabba MD , Foruzandeh Khajehpour MD , Mohammad Eskandari MD
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引用次数: 150

Abstract

Background

Limited reports exist about intracranial incidental findings on computed tomography (CT) imaging. We studied the frequency of incidental findings on 3000 brain CT scans of trauma patients.

Methods

Three thousands standard brain CT scans of trauma patients were evaluated for some incidental findings. Cisterna magna was evaluated in 1500 CT scans.

Results

In this study we found 30 incidental abnormalities that include 8 cases of tumor: 3 meningioma, 2 craniopharyngioma, 1 oligodendroglioma, 1 low-grade astrocytoma, and 1 medulloblastoma. Suspect osteoma was found in 3 cases. In 3 cases, abnormal calcification was found in pineal region, basal ganglia, and temporal horn area. Three suspect lipomas were found in midline and near midline of the brain. Arachnoid cyst was found in 7 cases and hydrocephaly in 3 cases. Large cisterna magna (>10 cm3) was found in 11 cases.

Conclusion

Cisterna magna enlargement was the most common incidental finding and brain tumor and arachnoid cyst were next in frequency.

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3000例头部外伤患者的脑计算机断层扫描的偶然发现
背景:关于颅内偶然发现的计算机断层扫描(CT)报道有限。我们研究了3000例外伤患者的脑部CT扫描中意外发现的频率。方法对3000例外伤患者的标准颅脑CT扫描结果进行分析。在1500次CT扫描中评估大池。结果本研究共发现30例偶发异常,其中肿瘤8例:脑膜瘤3例,颅咽管瘤2例,少突胶质细胞瘤1例,低度星形细胞瘤1例,成神经管细胞瘤1例。疑似骨瘤3例。3例在松果体区、基底节区和颞角区发现异常钙化。在脑中线及近中线发现3个疑似脂肪瘤。蛛网膜囊肿7例,脑积水3例。11例发现大池(10 cm3)。结论大池增大是最常见的意外发现,其次为脑肿瘤和蛛网膜囊肿。
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Surgical Neurology
Surgical Neurology 医学-临床神经学
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