Fu H
Beijing Friendship Hospital.
Zhonghua Shen Jing Jing Shen Ke Za Zhi. 1992 Apr;25(2):100-2, 127.
Eleven patients of Arnold-Chiari malformation (ACM) in adults were reported. Nine of them associated with syringomyelia. The etiology, clinical features, diagnosis, differential diagnosis, the findings of SSEP, MEP, EMG, NCV, and the treatment of ACM in adults were discussed. Our observations lead us to consider that both clinical symptoms and examinations are crucial in the diagnosis. In addition, the delineation of ACM in adults with or without syringomyelia can be somewhat difficult by traditional radiological examinations, but can be readily demonstrated by MRI.
报告了11例成人阿诺德 - 奇亚里畸形(ACM)患者。其中9例伴有脊髓空洞症。讨论了成人ACM的病因、临床特征、诊断、鉴别诊断、体感诱发电位(SSEP)、运动诱发电位(MEP)、肌电图(EMG)、神经传导速度(NCV)检查结果及治疗。我们的观察结果使我们认为临床症状和检查在诊断中都至关重要。此外,传统放射学检查对有或无脊髓空洞症的成人ACM的界定可能有些困难,但磁共振成像(MRI)可以很容易地显示出来。