脊髓梗塞的临床表现和磁共振成像特征
Gaotan Ke1, Huiting Liao1, Weiwei Chen1
1Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Journal of neuroradiology = Journal de neuroradiologie
|October 10, 2023
概括
脊髓梗塞 (SCI) 诊断可以通过了解其临床和MRI特征来改进. 关键指标包括特定的损伤模式,受限制的扩散,以及相关的脊椎或尾巴马类异常.
科学领域:
- 神经学 神经学
- 放射学 放射学是指放射学
- 血管医学 血管医学
背景情况:
- 脊髓梗塞 (SCI) 是一种罕见的中风,没有被广泛接受的诊断标准.
- 在临床实践中,SCI的准确诊断具有挑战性.
研究的目的:
- 探索SCI的临床表现和MRI特征.
- 为了提高SCI的准确诊断.
主要方法:
- 对临床数据,MRI特征,实验室发现和结果的回顾性分析.
- 该研究包括40名在2016年6月至2022年1月期间被诊断患有SCI的患者.
主要成果:
- 大多数SCI发生在T8-L2和C4-T4水平,横向和ASA领土心脏病发作很常见.
- 长度广泛的病变 (67.5%) 是预后不佳的危险因素.
- 核磁共振扫描显示脊髓胀,扩散受限 (长达60天) 和脊椎心脏病发作;类似中风的发作 (92.5%) 与疼痛和感觉障碍是常见的.
- 血管异常 (45%) 和阳性损伤 (15%) 是主要的病因.
结论:
- 一个基于脊髓血液供应的拟议MRI分类.
- 限制扩散和脊椎/马尾异常是SCI诊断的关键神经成像特征.
- 患者有血管疾病或触发因素的病史有助于诊断.
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