Abstract
Objective
Our aim was to investigate the statistical preoperative diagnostic criteria of lesions
of Meckel's cave (MC) on MRI.
Materials and methods
We retrospectively reviewed the MR images with MC lesions in 34 patients. The MR signs
were compared with histopathologic and surgical findings in all lesions. Odds ratio
values and the confidence intervals of the MRI diagnostic criteria were evaluated
by univariate logistic regression.
Results
The following three signs of MC on post-contrast T1WI of MRI have been found to represent
the most valuable criterion for determination of MC lesion: (1) contrast enhancement,
(2) bulging of lateral wall, and (3) the absence of normal MC, with odds ratios of
362.67 (P<.001), 40.38 (P=.001), and 40.38 (P=.001) individually.
Conclusion
Contrast enhancement on post-contrast T1WI is the most sensitive MR sign for demonstrating
the presence of MC lesion.
Keywords
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References
- The MC: computed tomographic study.Radiology. 1984; 152: 425-433
- Williams and Wilkins, Baltimore1980: 740-743 Grant's atlas of anatomy. 7th ed.
- Williams and Wilkins, Baltimore1979: 1-7 Human neuroanatomy. 7th ed.
- The cavernous sinus: an anatomical survey.Aust N Z J Surg. 1977; 47: 601-613
- Atypical cystic meningioma of the trigeminal nerve in a pediatric patient.AJNR. 2008; 29: 398-399
- Metastatic involvement of the MC and trigeminal nerve. A case report.J Neuro-Oncol. 1997; 32: 87-90
- Tuberculoma in the MC: a case report.Neurol India. 1999; 47: 238-240
- Imaging of parasellar lesions.Eur Radiol. 2005; 15: 549-559
- Trigeminal involvement in intracranial tumours.Acta Neurchir (Wien). 1993; 125: 47-51
- Lesions in MC: variable presentation and pathology.J Neurosurg. 1987; 67: 684-689
- Trigeminal nerve: anatomic correlation with MR imaging.Radiology. 1986; 159: 577-583
- MR imaging of primary tumors of trigeminal nerve and MC.AJR. 1988; 151: 577-582
- Lymphomatous involvement of the trigeminal nerve and Meckel cave: CT and MR appearance.AJNR. 1989; 10: S15-S17
- Anatomic variants of MC.J Neuroradiol. 1998; 25: 201-206
- Contrast enhanced MR images in patients with meningioma: importance of enhancement of the dura adjacent to the tumor.AJNR. 1990; 11: 935-938
- The radiologic assessment of trigeminal neuropathy.AJNR. 1989; 10: 1031-1038
- Association of meningiomas with dural ‘tails’: surgical significance.Acta Neurochir. 1992; 114: 59-63
- The sensitivity and specificity of high-resolution imaging in evaluating perineural spread of adenoid cystic carcinoma to the skull base.Arch Otolaryngol Head Neck Surg. 2007; 133: 541-545
Article info
Publication history
Published online: October 06, 2010
Accepted:
August 1,
2010
Received:
July 15,
2010
Identification
Copyright
© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.