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全身磁共振成像在诊断Parsonage Turner综合征中的应用

Whole body magnetic resonance imaging in the diagnosis of Parsonage Turner syndrome.

作者信息

Ryan M, Twair A, Nelson E, Brennan D, Eustace S

机构信息

Cappagh National Orthopaedic Hospital, Finglas, Dublin, Ireland.

出版信息

Acta Radiol. 2004 Aug;45(5):534-9. doi: 10.1080/02841850410006083.

DOI:10.1080/02841850410006083
PMID:15515516
Abstract

PURPOSE

To describe magnetic resonance imaging (MRI) findings in patients with suspected Parsonage Turner syndrome and to emphasize the value of an additional whole body MR scan to improve specificity of this diagnosis.

MATERIAL AND METHODS

Three patients with proven Parsonage Turner syndrome referred for conventional MRI of the shoulder girdle and additional whole body turboSTIR MRI were included for study.

RESULTS

In each case, imaging revealed edema in the muscles of the shoulder girdle. Whole body turboSTIR MRI scan confirmed localized unilateral changes in each case improving specificity and confidence in the diagnosis of Parsonage Turner syndrome in each case.

CONCLUSION

Whole body turboSTIR MR imaging is a useful diagnostic tool in the evaluation of patients with suspected Parsonage Turner syndrome. Inclusion of the brain, neck, brachial plexus, and extremity musculature at whole body imaging allows differentiation from polymyositis and elimination of additional causes of shoulder girdle pain and weakness including gross lesions in the brain, neck, and brachial plexus by a single non-invasive study.

摘要

目的

描述疑似Parsonage Turner综合征患者的磁共振成像(MRI)表现,并强调额外进行全身磁共振扫描对提高该诊断特异性的价值。

材料与方法

纳入3例经证实的Parsonage Turner综合征患者,这些患者因肩带常规MRI检查及额外的全身turboSTIR MRI检查前来就诊。

结果

在每例患者中,成像均显示肩带肌肉水肿。全身turboSTIR MRI扫描证实了每例患者的局限性单侧改变,提高了对Parsonage Turner综合征诊断的特异性和信心。

结论

全身turboSTIR MR成像在评估疑似Parsonage Turner综合征患者中是一种有用的诊断工具。在全身成像中纳入脑、颈部、臂丛神经和肢体肌肉组织,通过一项非侵入性研究即可与多发性肌炎相鉴别,并排除肩带疼痛和无力的其他原因,包括脑、颈部和臂丛神经的明显病变。

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