甲状腺网与非典型的成像发现和临床表现:一个案例报告
Eijiro Onishi1, Yushi Sakamoto2, Sadaki Mitsuzawa1
1Orthopedic Surgery, Kobe City Medical Center General Hospital, Kobe, JPN.
Cureus
|April 29, 2025
概括
脊髓甲状腺网 (SAW) 是脊髓压缩的一个罕见原因. 这一案例突出了非典型的MRI发现,并强调考虑SAW在脊髓缩中与背部CSF流量空白.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 脊髓甲状腺网 (SAW) 是一种罕见的内膜损伤,导致脊髓压缩和骨髓病变.
- 由于异常呈现和成像发现,诊断可能具有挑战性.
研究的目的:
- 报告SAW病例的异常成像和临床特征.
- 讨论SAW的诊断挑战和考虑.
主要方法:
- 一个63岁的男性患有进展性神经缺陷的病例报告.
- 使用了磁共振成像 (MRI) 和手术内超声波.
- 进行了SAW的手术切除.
主要成果:
- 磁力共振成像显示脊髓缩,肌内超强度,背部流空,缺乏典型的刀标志.
- 术内超声波证实SAW阻碍了脑脊液 (CSF) 的流动.
- 手术后运动和感官功能得到改善,持续麻木和膀功能障碍.
结论:
- 在MRI上,在脊髓缩和背脊脊髓液流失的情况下,即使没有头刀标志,也应该怀疑SAW.
- 非典型的呈现需要仔细的放射学评估.
- 阴间隔膜可以导致CSF压力不对称,可能导致布朗-塞卡德综合征.
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