大趾畸形相关神经脂肪变性的超声诊断:“意大利面和巧克力饼干”外观。

IF 2 4区 医学 Q4 Medicine Journal of the Belgian Society of Radiology Pub Date : 2022-07-22 eCollection Date: 2022-01-01 DOI:10.5334/jbsr.2849
Kristin Francken, Tjeerd Jager, Johan Vanlauwe, Johan de Mey, Maryam Shahabpour, Michel De Maeseneer
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引用次数: 2

摘要

我们研究了3例神经脂肪瘤和巨营养不良性脂肪瘤的超声影像表现。三名患者在三个附属机构看到了一个扩大的手指。他们都接受了超声检查,随后进行了核磁共振检查。神经明显扩大延伸,长度约为9 ~ 16 cm。数字分支机构总是参与其中。横切面表现为增大的高回声神经内膜,内嵌增厚的低回声束。在横向图像上,这导致了“巧克力饼干”的方面,在长轴上是“意大利面”的图像。神经脂肪瘤病的美国表现,与MRI不同,是相当典型的。对于US,应该注意更难评估的区域,如脚底,或“巧克力饼干”外观不那么明显的地方,如手指。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Ultrasound of Lipomatosis of Nerve Associated with Macrodactyly: 'Spaghetti and Chocolate Cookie' Appearance.

We studied the US imaging findings of lipomatosis of nerve and macrodystrophia lipoma in three patients. Three patients were seen at three affiliated institutions with an enlarged digit. They all underwent US, subsequently followed by an MRI study. The nerves showed marked enlargement and extension over a length of 9-16 cm. Digital branches were always involved. The appearance on cross section was an enlarged hyperechoic endoneurium with inlying thickened and hypoechoic fascicles. On transverse images this resulted in a 'chocolate cookie' aspect and in the long axis a 'spaghetti-like' image. The US appearance of lipomatosis of nerve, not unlike MRI, is rather typical. With US, care should be taken in areas that are more difficult to assess as the sole of the foot, or where the 'chocolate cookie' appearance is not so obvious, such as the digits.

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来源期刊
Journal of the Belgian Society of Radiology
Journal of the Belgian Society of Radiology Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
0.60
自引率
5.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: The purpose of the Journal of the Belgian Society of Radiology is the publication of articles dealing with diagnostic and interventional radiology, related imaging techniques, allied sciences, and continuing education.
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