| 摘要: |
| 创伤性颅神经损伤绝大多数伴有骨折片压迫,多可应用显微外科技术从硬脑膜外进行手术,早期干预减压效果好,因此,对颅神经损伤进行早期正确的诊断就显得尤为重要。颅神经通过颅底的自然骨孔和裂隙与外界相通,人类颅骨中存在一些有颅神经走行的特殊骨性结构,包括视神经管、眶上裂、面神经管、颈静脉孔等,颅神经损伤在很多情况下与这些结构损伤有关,但由于它们位置深在,走行曲折,结构细小,普通影像学检查很难对其做出准确的诊断。为了进一步了解颅脑创伤合并颅神经损伤的影像学诊断方法,本文就人类颅骨一些特殊骨性结构的影像学检查研究进展作一综述。 |
| 关键词: 颅神经损伤 视神经管 眶上裂 面神经管 颈静脉孔 放射摄影术 |
| DOI：10.3724/SP.J.1008.2010.0429 |
| 投稿时间：2009-09-11修订日期：2010-02-01 |
| 基金项目:军队“十一五”科技攻关课题(08G063),上海市科委国际合作课题(09410705100). |
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| Recent progress in radiological study of cranial nerve injury |
| PAN Cheng-guang1, HE Qi2, HOU Li-jun1* |
| (1. Department of Neurosurgery, Changzheng Hospital, Shanghai Institute of Neurosurgery, Second Military Medical University, Shanghai 200003, China;2. Department of Imaging, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China) |
| Abstract: |
| The vast majority of traumatic cranial nerve injuries are associated with compression of fragment fracture, and microsurgery outside the epidural can be used for most of the cases. Therefore, early and accurate diagnosis of cranial nerve injury is especially important. As the cranial nerves go out of the cranial cavity through the holes and cracks of the skull base, and there are a number of special structures through which cranial nerve goes into the human skull, and they include the optic canal, superior orbital fissure, facial nerve canal, jugular foramen and so on. Most traumatic cranial nerve injuries are associated with these structures; however, the common imaging examination is very difficult for these structures due to their deep location. To further study the imaging diagnosis of cranial nerve injury associated with traumatic brain injury, this paper reviews the radiological technology for examination of the special positions in the skull. |
| Key words: cranial nerve injuries optic canal superior orbital fissure facial nerve canal jugular foramen radiography |
