Summary
Seventy-three cisternographies with metrizamide were performed on 69 patients, mainly for diagnosis of an acoustic neurinoma. Of the 31 patients with pathological findings on cisternography 26 underwent surgery for 23 acoustic neurinomas, one neurinoma of the facial nerve, and two meningiomas. For diagnosing small tumours of the cerebellopontine cistern, cisternography is superior to all other neuroradiological methods. Tomography of the porus acusticus internus and CT scanning are the initial radiological methods in patients with signs of cerebellopontine angle lesions; if no lesion is disclosed by these two methods cisternography with metrizamide should be performed to exclude a small tumour, particularly a small acoustic neurinoma.
Similar content being viewed by others
References
Yasargil, M.G., Smith, R.D., Gasser, J.C.: Microsurgical approach to acoustic neurinomas. In: Krayenbühl, H. (ed): Advances and technical standards in neurosurgery. Vol. 4. Berlin, Heidelberg, New York, Wien: Springer 1977
Palva, T., Troupp, H., Jauhiainen, T.: Team surgery for acoustic neurinomas and the preservation of hearing. Acta Otolaryngol. in press (1980)
Liliequist, B.: Pontine angle tumour. Encephalographic appearances. Acta Radiol. [Suppl.] (Stockh.) 186, 19–30 (1959)
Britton, B.H., Hitselberger, W.E., Hurley, B.J.: Iophendylate examination of posterior fossa in the diagnosis of cerebellopontine angle tumours. Arch. Otolaryngol. 88, 60–71 (1968)
Novy, S., Jensen, K.M.: Filling defects and nonfilling of the internal auditory canal in posterior fossa myelography. A.J.R. 124, 265–270 (1975)
Bergeron, R.T., Rumbaugh, G.L., Fang, H., Cravioto, H.: Experimental pantopaque arachnoiditis in the monkey. Radiology 99, 95–101 (1971)
Clark, R.G., Milhorat, T.H., Stanley, W.C., di Chiro, G.: Experimental pantopaque ventriculography. J. Neurosurg. 34, 387–395 (1971)
Gjerris, A., Praestholm, J., Klinken, L.: Comparison of metrizamide and iophendylate for cerebral ventriculography. A long-term ultrastructural study of the ventricular wall in the rat. Neuroradiology 15, 79–84 (1978)
Grepe, A.: Cisternography with the non-ionic water-soluble contrast medium metrizamide. A preliminary report. Acta Radiol. [Diagn.] 16, 146–160 (1975)
Sortland, O., Nornes, H., Djupesland, G.: Cisternography with metrizamide in cerebellopontine angle tumours. Acta Radiol. [Suppl.] 355, 345–356 (1977)
Möller, A., Hatam, A., Olivecrona, H.: Diagnosis of acoustic neuroma with computed tomography. Neuroradiology 17, 25–30 (1978)
Robbins, B., Marshall, W.H.: Computed tomography of acoustic neurinoma. Radiology 128, 367–370 (1978)
Schubinger, O., Valavanis, A., Menges, H.: Computed tomography for small acoustic neuromas. Neuroradiology 15, 287–290 (1978)
Rosenbaum, A.E., Drayer, B.P., Dubois, P.J., Black, O.: Visualization of small extracanalicular neurilemomas by metrizamide cisternographic enhancement. Arch. Otolaryngol. 104, 239–243 (1978)
Sortland, O.: Computed tomography combined with gas cisternography for the diagnosis of expanding lesions in the cerebellopontine angle. Neuroradiology 18, 19–22 (1979)
Wende, S.: Die kombinierte Anwendung von Computer-tomographie und Luftzisternographie bei Kleinhirnbrücken-winkeltumoren. RÖFO 132, 666–667 (1980)
Wende, S., Lüdecke, B.: Technique and value of gas and pantopaque cisternography in the diagnosis of cerebello-pontine angle tumours. Neuroradiology 2, 24–29 (1971)
Valvassori, G.E.: Myelography of internal auditory canal. A.J.R. 115, 578–586 (1972)
Gardner, G.: The early diagnosis of acoustic tumors using posterior fossa cisternography with iophendylate. Laryngoscope 90, 181–195 (1980)
Dubois, P.J., Drayer, B.P., Bank, W.O., Deeb, Z.L., Rosenbaum, A.E.: An evaluation of current diagnostic radiologic modalities in the investigation of acoustic neurilemmomas. Radiology 126, 173–179 (1978)
Valvassori, G.E.: The abnormal internal auditory canal: The diagnosis of acoustic neuroma. Radiology 92, 449–459 (1969)
Sones, P.J., Cioffi, C.M., Hoffman, J.C.: A practical approach to the diagnosis of cerebellopontine angle tumors. A.J.R. 122, 554–559 (1974)
Reidy, J., de Lacey, G.J., Wignall, B.K., Uttley, D.: The accuracy of plain radiographs in the diagnosis of acoustic neuromas. Neuroradiology 10, 31–34 (1975)
Taveras, J.M., Wood, E.H.: Diagnostic neuroradiology, 2nd ed. pp. 90–100. Baltimore: Williams and Wilkins 1976
Kendall, B., Symon, L.: Investigation of patients presenting with cerebellopontine angle syndromes. Neuroradiology 13, 65–84 (1977)
Numaguchi, Y., Kishikawa, T., Ikeda, J., Tsukamoto, Y., Fukui, M., Kitamura, K., Matsuura, K.: Angiographic diagnosis of acoustic neurinomas and meningiomas in the cerebellopontine angle — a reappraisal. Neuroradiology 19, 73–80 (1980)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Servo, A., Porras, M. & Jääskinen, J. Metrizamide cisternography in the diagnosis of acoustic neurinomas. Neuroradiology 21, 37–41 (1981). https://doi.org/10.1007/BF00518791
Received:
Revised:
Issue Date:
DOI: https://doi.org/10.1007/BF00518791