Ozsarlak O, Schepens E, Parizel P M, Van Goethem J W, Vanhoenacker F, De Schepper A M, Martin J J
Department of Radiology, University Hospital Antwerp, Wilrijkstraat 10, B-2650 Edegem, Belgium.
Eur J Radiol. 2001 Dec;40(3):184-97. doi: 10.1016/s0720-048x(01)00399-0.
This article presents the actual classification of neuromuscular diseases based on present expansion of our knowledge and understanding due to genetic developments. It summarizes the genetic and clinical presentations of each disorder together with CT findings, which we studied in a large group of patients with neuromuscular diseases. The muscular dystrophies as the largest and most common group of hereditary muscle diseases will be highlighted by giving detailed information about the role of CT and MRI in the differential diagnosis. The radiological features of neuromuscular diseases are atrophy, hypertrophy, pseudohypertrophy and fatty infiltration of muscles on a selective basis. Although the patterns and distribution of involvement are characteristic in some of the diseases, the definition of the type of disease based on CT scan only is not always possible.
本文基于遗传学发展带来的知识和理解的当前扩展,介绍了神经肌肉疾病的实际分类。它总结了每种疾病的遗传和临床表现以及CT表现,这些是我们在一大群神经肌肉疾病患者中研究得出的。作为最大且最常见的遗传性肌肉疾病组,肌肉萎缩症将通过详细介绍CT和MRI在鉴别诊断中的作用而被重点阐述。神经肌肉疾病的放射学特征是肌肉在选择性基础上出现萎缩、肥大、假性肥大和脂肪浸润。尽管在某些疾病中受累的模式和分布具有特征性,但仅基于CT扫描来定义疾病类型并不总是可行的。