脊髓痴呆症:不要错过它,它是可以治疗的
Horst Urbach1,2, A El Rahal3,4, K Wolf3,4
1Department of Neuroradiology, Medical Center, Faculty of Medicine, University Medical Center Freiburg, Breisacher Str. 64, 79106, Freiburg, Germany. horst.urbach@uniklinik-freiburg.de.
Neuroradiology
|July 10, 2024
概括
调查导致认知衰退的罕见脊柱疾病,揭示了痴呆症患者的可治疗原因. 早期脊髓成像对于诊断和治疗脊髓痴呆症等疾病至关重要.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 神经外科 神经外科
背景情况:
- 大约5%的痴呆病例源于可治疗的原因.
- 罕见的脊柱状况可以表现为认知障碍.
- 调查脊柱水平可治疗的原因对于痴呆症管理至关重要.
研究的目的:
- 为了估计导致认知衰退的罕见脊髓疾病的患病率.
- 要突出脊柱病理和痴呆症之间的联系.
- 引入"脊髓痴呆症"的概念.
主要方法:
- 搜索了放射学信息系统,使用CT骨髓图和OPS代码3-241.
- 对自发性内低血压 (SIH) 和CSF泄漏患者的临床病历进行了审查.
- 鉴定出患有认知衰退,大脑松或脑下血病的患者.
主要成果:
- 确定了5名患有前性脑松综合征的患者,其中4名患有脑脊液静脉,在治疗后得到改善.
- 十一名患者呈现了下垂体化症,听力问题和缺氧;至少有两名患者表现出认知能力下降.
- 十名患者患有胸部持续撕裂,一名患有宫持续撕裂;八名患者在手术后得到改善.
结论:
- 脊柱评估,特别是胸脊,对于认知障碍患者,脑或脑下变化是强制性的.
- 建议使用术语"脊髓痴呆症"来集中注意力于脊髓病理.
- 在这些情况下,建议动态数字减法和CT骨髓造影用于脊柱评估.
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