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四、脑室与脑池疾病鉴别诊断
1.第四脑室常见肿瘤的鉴别诊断
![](https://epubservercos.yuewen.com/6D40E4/14262446004375506/epubprivate/OEBPS/Images/image76.jpeg?sign=1739216595-uhm6qWtbKamrkupt8NmjpJYU3GiNVkB8-0-e782a017eca6b8a68f08eb0f7f1f5e44)
图1-4-1 室管膜瘤
CT平扫显示第四脑室区不规则软组织密度肿块影(→),呈稍高密度,其内散在斑点状钙化灶
![](https://epubservercos.yuewen.com/6D40E4/14262446004375506/epubprivate/OEBPS/Images/image77.jpeg?sign=1739216595-Ya956nMRUIWWdOrGlMFaHYiGzWrWU8Wl-0-39c5f5517378e58280d5cade3e31e470)
图1-4-2 髓母细胞瘤
CT平扫显示小脑蚓部椭圆形软组织密度肿块影(→),灶周可见带状水肿带围绕,第四脑室受压、移位
![](https://epubservercos.yuewen.com/6D40E4/14262446004375506/epubprivate/OEBPS/Images/image78.jpeg?sign=1739216595-aFHz6pV0e16XsjqWUNDpyNd3wnlqZwaC-0-9b39fede5f8b73ebdf0c1c3b6bca374f)
图1-4-3 脉络丛乳头状瘤
CT平扫显示第四脑室内分叶状高密度软组织肿块影(→),其内可见点状钙化
2.侧脑室常见肿瘤的鉴别诊断
![](https://epubservercos.yuewen.com/6D40E4/14262446004375506/epubprivate/OEBPS/Images/image80.jpeg?sign=1739216595-fPa5zwnewEmpA3lQmEOg2cmqJxAXaZur-0-770bf57eaa4af178db12a8221fbe584b)
图1-4-4 室管膜瘤
(A)显示左侧脑室三角区囊实性病变(→),跨越脑室和脑实质生长;(B)可见明显花环状强化(→)
![](https://epubservercos.yuewen.com/6D40E4/14262446004375506/epubprivate/OEBPS/Images/image81.jpeg?sign=1739216595-Obzjw7ncGq0UsRq6GdEFb97zupM4LuA6-0-f15637821f20e96d6a7660b75a1d5ebf)
图1-4-5 侧脑室内脑膜瘤
CT增强扫描显示右侧脑室三角区可见椭圆形软组织肿块影(→),均匀强化
![](https://epubservercos.yuewen.com/6D40E4/14262446004375506/epubprivate/OEBPS/Images/image82.jpeg?sign=1739216595-t9zuqXnCwPnKLAsbM9gekBCCWuukGAyk-0-d36de5706c841652e6fc01d72cbc4968)
图1-4-6 室管膜下巨细胞星形细胞瘤
(A)显示右侧脑室前角近孟氏孔附近椭圆形等密度肿块影,邻近侧脑室多发结节状钙化灶(→),提示同时合并结节性硬化;(B)可见结节明显强化(→)
3.第三脑室肿瘤的鉴别诊断
![](https://epubservercos.yuewen.com/6D40E4/14262446004375506/epubprivate/OEBPS/Images/image84.jpeg?sign=1739216595-Ebexmxj0qUzU1zXFNndiAc4HOpFKDhMU-0-2b03f833d1aadec64695d7fc44259218)
图1-4-7 胶样囊肿
CT平扫显示第三脑室前部圆形高密度灶(→),病灶边界清晰
![](https://epubservercos.yuewen.com/6D40E4/14262446004375506/epubprivate/OEBPS/Images/image85.jpeg?sign=1739216595-1FVDWbdBpbdWRNScOmMpGM6hLBDLOo9K-0-920d72fda4594cf7ffb01459694ac23c)
图1-4-8 松果体细胞瘤
CT增强扫描显示松果体区椭圆形肿块影(→),明显强化
![](https://epubservercos.yuewen.com/6D40E4/14262446004375506/epubprivate/OEBPS/Images/image86.jpeg?sign=1739216595-8RQqMlwgAUGrzK86UJVdUeauAIKnV1Vt-0-b755b9807141a128a6c2c54e7e18c7ba)
图1-4-9 毛细胞型星形细胞瘤
CT平扫显示四叠体区稍高密度肿块影(→),其内散在斑点状钙化灶