Lakke J P, Beekhuis H, Vos J E
Rofo. 1975 Jun;122(6):511-16. doi: 10.1055/s-0029-1230124.
This study discusses the clinical validity of 101 postural scintimyelograms as a screening method for cervical myelopathy. The RIHSA or Ytterbium isotope-examination are not an extra burden to the patient if the radiopharmacon is introduced into the dural sac following Queckenstedt's test. If there is a normal rise and fall of CSF pressure after bilateral jugular compression and postural scintimyelography is judged normal as well, a cervical subarachnoid obstruction may be excluded. If both examinations yield pathological results an obstructive process in the cervical spinal canal is made certain; and in cases of spondylotic myelopathy a positive contrast myelogrpahy may thus be superfluous. If the results of these two examinations are contradictory then further neuroradiolocal studies are indicated.
本研究探讨了101例姿势性脊髓闪烁造影作为颈椎病筛查方法的临床有效性。如果在奎肯施泰特试验后将放射性药物注入硬膜囊，RIHSA或镱同位素检查对患者来说并非额外负担。如果双侧颈静脉压迫后脑脊液压力正常升降，且姿势性脊髓闪烁造影判断也正常，则可排除颈蛛网膜下腔梗阻。如果两项检查均得出病理结果，则可确定颈椎管内存在梗阻性病变；在脊髓型颈椎病病例中，阳性对比脊髓造影可能因此多余。如果这两项检查结果相互矛盾，则需进一步进行神经放射定位研究。
