马尾神经颚口线虫病的磁共振成像表现
MR imaging findings in cauda equina gnathostomiasis.
作者信息
Sawanyawisuth Kittisak, Tiamkao Somsak, Nitinavakarn Benjaporn, Dekumyoy Paron, Jitpimolmard Suthipun
机构信息
Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
出版信息
AJNR Am J Neuroradiol. 2005 Jan;26(1):39-42.
Abstract
We report a case of cauda equina syndrome caused by Gnathostoma spinigerum, which was confirmed by an immunoblotting test. MR imaging of the lumbosacral spine showed long, segmented hyperintensity along the cauda equina with irregular enhancement on the postcontrast study. The conus medullaris was slightly enlarged with abnormal enhancement. The patient was treated with corticosteroids, and her clinical condition improved. MR imaging, 9 months after treatment, showed the condition to be completely resolved.
摘要
我们报告一例由棘颚口线虫引起的马尾综合征，该病例经免疫印迹试验确诊。腰骶椎的磁共振成像显示马尾区域有长节段的高信号，增强扫描可见不规则强化。脊髓圆锥轻度增大，强化异常。患者接受了皮质类固醇治疗，临床状况有所改善。治疗9个月后的磁共振成像显示病情已完全缓解。
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