Labauge P
Service de neurologie CHU de Montpellier-Nîmes Hôpital Caremeau 30029 Nîmes.
Rev Prat. 2001 Jun;51(11):1187-90.
Diagnosis of myelopathy whatever its cause, is based on clinical findings: paraparesis, loss of sensibility, sphincterian disturbance. Diagnosis of myelopathy requires magnetic resonance imaging, which rules out compressive and vascular disorders. Main causes of inflammatory myelopathies are multiple sclerosis multisystemic disorders, infectious and post-infectious diseases. Absence of identifiable causes in one quarter of the cases leads to the diagnosis of idiopathic myelitis.
无论病因如何,脊髓病的诊断都基于临床表现:双下肢轻瘫、感觉丧失、括约肌功能障碍。脊髓病的诊断需要进行磁共振成像,以排除压迫性和血管性疾病。炎症性脊髓病的主要病因是多发性硬化症、多系统疾病、感染性和感染后疾病。四分之一的病例中找不到明确病因,从而诊断为特发性脊髓炎。