·综述·原发性三叉神经痛的磁共振诊断

JDiagnConceptsPract200534o56789o:4··,(,200025):;:;75:==;775:C:=?=!2@0(2005)07!0AA@!0A,、、、。,,。,,,。,,、、、、。,,。=@2B=0C=D,,,,2(42)A(4A),=(4=)。。,。E;(FicroGascH5arIecoFpression8E4D),,,@0JK0J,、、。,、、、、、C=D。E4D。,C2D。,CAD。。,。,,C287D。E4D,,,。,L,CM,,CM。,,。E;,,C5D。,(E4D、),,,。E;,。、,。=:(A!IiFensiona5tiFe!oN!N5igOtFagneticresonancetoFograpOicangiograpOP8AD!MQRE;MS):E;MS。,AD!MQR,M;A5Fs,MT5Fs,=5#,=FF,。,E;、,(FaUiFHFintensitPproVection8EWP)C?8D。,,,,C@D。,,,。,338!!200544,%&’。()*,%+’,。,,--%5’。./0/12%5’+34,、。(52657%+’&8%,。9:;:%3’8=?.、&3@+4、&2A54&5A04,2,3A&4。2A(BC:(BC,,,。(BC。,。0A,--:DE0F%,0’。(52657%,,’30%,,5%。、,,2,,。G:HI6:%,2’(JH;551I-56I:62DK:6J;/KJIL5I6J5;M5;56K5I6J5217J2J5,8=N)OO),,B,2A25-,P5A&0-,30#,,--,,(B、。2,,、,,。8=?.,%QR,2’。S2J;5IJ5;%,8’。,8=?.2,%Q’。G:HI6:%,2’8(+%)。。G:HI6:%,2’2。%,4’2,;。:、0;、,;、2,、、,8。0,,,≥2%,4’。。(B%,5’。(52657%+’(,5%),。,,,%5’。、、,。。,(B,,。!%,’TA%(’A:,,&&QAQ5,Q53A%2’U:L5OTN:20H2-SVA;IF5-I62D65/;2DFI2WX2JH:D:F7261X2JH:F565I%Y’AV;2I6T200,T,24Z*J,2[W284328+0A%8’\/;-I00:YTPD1;I1F5*BA;IF5-I62D65/;2DFI2X2JH:XH7I:D:F7T1I2F6:I261K/;;56JJ;52J-56J%Y’AV;YC625JHT200,TQ3Z,[W,,3,82A%4’U:L5OTSIDJ:6=CTN:20H2-SVAN56J;2D15-75DI62JI:6:MJH59JH65;L5;::JI6J;IF5-I62D65/;2DFI22:KI2J51]IJHL2K/D2;K:-X;5I:6%Y’AV;2I6*2JH:DT,&&QTQZ,[W,,2A%5’./0/12ST)HI02]2(T?0/-/;2BA=5-:6J;2JI:6:M65/;:L2K/D2;K:-X;5I:6I6J;IF5-I62D65/;2DFI2261H5-IM2KI2DX2-]IJH-2F65JIK;5:626K5I-2FI6FWK:-X2;I:6]IJH/;FIK2DMI61I6FI6+0K:65K/JIL5K25%Y’AO/;F\5/;:DT2008T5&Z2[W&8,00A%+’(52657Y.TPD1;I1F5*BT=/66UT5J2DA=5-:6J;2JI:6:M65/;:L2K/D2;K:-X;5I:6I6J;IF5-I62D65/;2DFI2]IJH-2F65JIK;5:626K5I-2FI6FAN:-X2;I:6]IJH/;FIK2DMI61I6FI652K:65K/JIL5:X5;2JIL5K25%Y’AY\5/;:/;FT,&&5TQ8Z5[W3&&Q05A%3’9:;:PT*2D0:CTS:;L2JH^T5J2DAH;551I-56I:62DJI-5:MMDIFHJ(B26FI:F;2XH7I6J;IF5-I62D65/;2DFI2:620A57J5-%Y’AP/;B21I:DT200,T,,Z4[W+42+43A%Q’C0I-:J:ST\2F2:02T\2;I2IT5J2DA*;5:X5;2JIL5(344)339!!JDiagnConceptsPract200534o56789o:4necrosis;rot=orrec=rrenceJ?:@aniAirisiBaCDo5820078E0F7GH2IJ!2IK:27?LpstaCMN8O=rpPDOO8Qi5RinsPB8eta5:Di;;erentia!tiono;etastases;roPigP!graCeg5ioas=singsPortecPotieESspectroscopDJ?:JOagnBesonTaging82007820U2VHEWK!EX2:25?SYangZ[3S=ang@Z3SYangN\3eta5:Di;;erentiationaongetastatic]raint=ors3raCiationnecroses3anC]raina]scesses=singprotonagneticresonancespec!troscopDJ?:MaoPsi=ngJOeCNci32007320FXVH7JK!772:2I?OisPra^O8A=ptaBM8JaggiBN8eta5:Bo5eo;Ci;;=sion!YeigPteCiaginganCin_i_oprotonagneticresonancespectroscopDintPeCi;;erentia5Ciagnosiso;ring!enPan!cingintracrania5cDsticass5esionsJ?:JCop=t^ssist@oogr8200782WU7VH570!57K:2K?MriegerOD8PanigraPD^8OcCo]JA8eta5:Di;;erentia!tiono;cPoroiCp5e‘=st=ors]DaC_anceCagneticres!onancespectroscopDJ?:20058EWUI^VHa7:2W?888:OBTJ?:820078JWUIVH5KW!5WE:2X?888:J?:820078JKU2VHWE!W7:J0?888:J?:820078E0UIVHJII!JK0:JE?M=P5CM8@e‘torJ8AieseReJ8eta5:^c=teanCs=]ac=teiscPeicstroReatPigP!;ie5C!strengtPUJ:0!@VCi;;=sion!YeigPteCOBiagingHintrainCi_iC=a5coparati_est=CDJ?:BaCio5ogD8200582J7U2VH50X!5EI:J2?Qo5;s]ergerN8ba!Nsa5aaP^8PinRerM8eta5:^pp5ica!tiono;tPree!tes5aagneticresonanceiaging;orCiag!nosisanCs=rgerDo;se55ar5esionsJ?:J9e=ros=rg820078E00U2VH2KW!2WI:JJ?9agae!PoetscPer\O8JiangS8QaRanaN8eta5:SigP!reso5=tionCi;;=siontensoriagingo;tPe]rainsteatJ@J?:^J9B^J9e=roraCio582007825UWVHEJ25!EJJ0:J7?P;e=;;erJ8OerR5eS8beDer5einO8eta5:^natoica5anC;=nctiona5OBiagingintPeacac=eonReD=singa_ertica55arge!]oreK@es5aset=pJ?:OagnBesonTaging82007822UE0VHEJ7J!EJ5X:J5?Zangde8QangJ8NitPOb8eta5:BeC=ctiono;ag!netic;ie5CinPoogeneitDarti;actsinecPop5anariagingYitPNa9NaanCAaNaPTatPigP;ie5CJ?:OagnBesonOeC82007852UIVHE7EW!E72J:U:2005!0I!27V(339)e_a5=ationo;ne=ro_asc=5arcopressioninpatientsYitPtrigeina5ne=ra5gia]D=seo;tPree!Ciensiona5reconstr=ction;rotYotDpeso;PigP!reso5=tionagneticresonanceiagingJ?:9e=ros=rgerD8200285EU7VHX5I!XI2:X?9agaseRiZ8SoriRosPi@8Lata@8eta5:L]5ic=esagitta5agneticresonanceiaging_is=a5ifing_asc=5arco!pressiono;tPetrigeina5or;acia5ner_eJ?6J9e=ros=rg8EXX28KKUJVHJKX!JWI6E0?OagoieCb8S=5sans[J84er]eetenbJr8eta56@rigei!na5ne=ra5giaHcoparisono;tYoOBiagingtecPnic=esintPeCeonstrationo;ne=ro_asc=5arcontactJ?6BaCio5o!gD8EXXK8207U2VH755!7I06EE?OeaneDJ[8Oi5esJb89i‘on@a8eta564asc=5arcontactYitPtPe;i;tPcrania5ner_eattPeponsinpatientsYitPtrigeina5ne=ra5giaHCetectionYitPJD[TNPiagingJ?6^JB^JBoentgeno58EXX78EIJUIVHE77K!E7526E2?ZosPino98^RiotoS8ZaaCaT8eta56@rigeina5ne=!ra5giaHe_a5=ationo;ne=ra5gicani;estationanCsiteo;ne=ro_asc=5arcopressionYitPJDCTNNOBiaginganCOBangiograpPDJ?6BaCio5ogD8200J822WU2VH5JX!5756EJ?SastreiterP89aragPiB8@oanC5b8eta56^na5DsisanCJ!Ciensiona5_is=a5ifationo;ne=ro_asc=5arcopressionsDnCroesJ?6^caCBaCio58200J8E0UE2VHEJIX!EJKX6E7?,,,6OBTJ?6820008EXU5V:2IK!2K06E5?,,,6J?68200782JUKV:5KE!5K76U:2005!0J!JEV!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!#4!687###$$#!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!344!!