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[Neuroradiological examinations of extracranial extension of brain tumors].

Authors: J, Hanakita; H, Handa;

[Neuroradiological examinations of extracranial extension of brain tumors].

Abstract

Before the application of CT scan, the exact identification of extracranial extension of brain tumors was difficult. In the present paper, neuroradiological findings of eight brain tumors with extracranial extension were reviewed. These eight cases were composed of two sphenoidal meningiomas, one CP angle meningioma, one CP angle neurofibroma, two pituitary adenomas, and two jugular foramen chemodectomas. After the first application of CT scan on May, 1976, 841 cases of primary intracranial tumors have been experienced in our clinic. So the incidence of brain tumors with extracranial extension was about 1%. The mean age of the patients was 51 years and all of the patients were females. In the neuroradiological examinations, plain skull films, tomograms, angiograms and CT scans were reviewed. Plain skull films and tomograms showed indirect signs of extracranial extension, such as destruction or hyperostosis of the skull and enlargement of the foramina. Direct signs of extracranial extension in the plain films were not obtained except in the pituitary adenomas, which extended into the paranasal sinuses and pharynx. Angiograms showed direct signs of extracranial extension, when remarkable tumor stain existed. Occlusion of the internal jugular vein suggested the extension of the tumor through the jugular foramen. In the cases without tumor stains, angiograms were useless to identify the extracranial portion of the tumor. CT scans were useful in all cases to detect extracranial extension. From the findings of CT scan, extracranial extensions of brain tumors were classified into four types. Extracranial extension with destruction of the skull. Extracranial extension with hyperostosis of the skull. Extracranial extension with both hyperostosis and destruction of the skull. Extracranial extension with enlargement of the skull foramina. To detect extracranial extension of brain tumors, enhanced coronal CT scan seemed most useful.

Keywords

Adenoma, Adult, Paraganglioma, Extra-Adrenal, Neurofibroma, Brain Neoplasms, Skull Neoplasms, Middle Aged, Cerebral Angiography, Meningeal Neoplasms, Humans, Female, Neoplasm Invasiveness, Pituitary Neoplasms, Child, Meningioma, Tomography, X-Ray Computed, Aged

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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