在患有掉头综合征的患者中进行对比增强磁共振成像
Kenji Endo1, Hirosuke Nishimura, Yasunobu Sawaji
1Department of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Spine
|October 4, 2023
概括
与对比度增强的MRI显示了患有落下头综合征 (DHS) 患者的宫伸展肌肉的特征性肌内增强. 这些发现,特别是在脊髓头肌中,将DHS与其他疾病区分开来,有助于诊断和治疗策略.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 肌肉骨成像系统的成像
背景情况:
- 掉头综合征 (DHS),通常与孤立的部延伸器肌病相关,由部延伸器肌肉疲弱引起.
- 与年龄相关的弹性丧失是相关的,但DHS中宫伸展肌肉的特定MRI特征仍未得到澄清.
研究的目的:
- 为了确定对比度增强MRI的特征特征,降落头综合征 (DHS) 患者.
- 用MRI来区分DHS与其他宫疾病.
主要方法:
- 追溯34名DHS患者的病例系列,这些患者患有孤立的部延伸肌病.
- 与32个年龄匹配的对照组 (宫脊椎病或瘤) 的比较.
- 用对比度增强的MRI评估肌肉增强在宫伸展肌肉中的存在,位置和模式.
主要成果:
- 所有34名DHS患者都表现出宫伸展肌肉的明显增强,特别是头炎 (34/34).
- 在32名对照患者的伸展肌肉中没有观察到增强.
- 标志性的蝶形 (85.3%) 或线性 (14.7%) 增强模式被发现,主要是在DHS患者的C6-C7状过程附着部位.
结论:
- 与对比度增强的MRI显示DHS的宫延伸肌肉肌肉内肌增强,在对照中缺席.
- 骨头炎肌肉增强是DHS的一致发现.
- 这些MRI发现对于诊断DHS和开发治疗策略非常有价值.
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