Ratliff J, Voorhies R
Department of Neurosurgery, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, Louisiana, USA.
Surg Neurol. 2000 Jan;53(1):8-13. doi: 10.1016/s0090-3019(99)00156-1.
Increased T2-weighted signal intensity in patients with cervical myelopathy has been extensively reviewed in the literature. A variety of etiologies with similar MRI appearances have been described; attempt at correlation of MRI findings with clinical presentation and outcomes after treatment has led to a limited consensus.
We present a case of cervical myelopathy with associated hyperintense T2-weighted signal characteristics, secondary to cervical spondylosis and instability.
Rapid resolution of radiographic abnormalities after surgical decompression and fusion was noted. Clinical improvement did not parallel radiographic resolution.
These findings are important in considering the pathophysiology of MRI changes in cervical myelopathy.
关于脊髓型颈椎病患者T2加权信号强度增加的情况，已有大量文献进行了综述。文献中描述了多种具有相似MRI表现的病因；试图将MRI结果与临床表现及治疗后的预后进行关联，但仅达成了有限的共识。
我们报告了一例因颈椎病和颈椎不稳继发的脊髓型颈椎病病例，该病例具有T2加权高信号特征。
手术减压融合后，影像学异常迅速得到缓解。临床改善与影像学缓解并不平行。
这些发现对于考虑脊髓型颈椎病MRI变化的病理生理学具有重要意义。
