Poster électronique

Aide au diagnostic des lésions kystiques intracrâniennes
Y Alaoui Lamrani, M Maâroufi, I Kamaoui, N Hammas, H Ammor, L Benjelloun, M Boubbou, N Sqalli Houssaini, A Amarti, S Tizniti - Fès - Maroc
Congrès 2011
Résumé
Objectifs
Montrer l'aspect en imagerie des différentes lésions cérébrales kystiques. Réussir le diagnostic d'une lésion cérébrale kystique ou à composante kystique majoritaire.
Matériels et méthodes
Étude rétrospective de 95 observations colligées de janvier 2009 à février 2011 chez des patients présentant une lésion kystique -ou à composante kystique majoritaire- de siège intracrânien. Nos patients ont bénéficié d'une exploration par TDM (n=34) et/ ou IRM (n=72) cérébrales. L'ensemble des diagnostics étiologiques soutenus en imagerie ont été confrontés -si nécessaire- aux données histologiques.
Résultats
Les résultats obtenus étaient les suivants : kystes hydatiques (n=8), neurocysticercoses (n=2), abcès spécifiques (tuberculeux, toxoplasmique) et à pyogène (n=8), kystes arachnoïdiens (n=17), cavités porencéphaliques (n=9), espaces périvasculaires de Virchow Robin (n=9), kyste pinéal (n=1), kyste de la poche de Rathke (n=3), plaque de SEP kystique (n=1), origine tumorale (astrocytome pilocytique, hémangioblastome, médulloblastome, gangliogliome, craniopharyngiome, oligodendrogliome, macroadénome à composante kystique) (n=27), kyste neuroglial (n=1), métastases kystiques (n=4), kyste dermoïde (n=1), kyste épidermoïde (n=4).
Conclusion
Les lésions kystiques intracrâniennes sont fréquentes dans notre pratique quotidienne. Une étude minutieuse de la topographie et de la morphologie de la lésion aide considérablement au diagnostic.
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2017-08-24 08.52 :
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2017-04-11 03.24 :
Scott Jones

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