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脊柱血管疾病的影像学检查

Imaging in spinal vascular disease.

作者信息

Krings Timo, Lasjaunias Pierre L, Hans Franz J, Mull Michael, Nijenhuis Robbert J, Alvarez Hortensia, Backes Walter H, Reinges Marcus H T, Rodesch Georges, Gilsbach Joachim M, Thron Armin K

机构信息

Department of Neuroradiology, University Hospital Aachen, Pauwelsstrasse 30, 52057 Aachen, Germany.

出版信息

Neuroimaging Clin N Am. 2007 Feb;17(1):57-72. doi: 10.1016/j.nic.2007.01.001.

Abstract

Spinal vascular diseases are rare and constitute only 1% to 2% of all vascular neurologic pathologies. In this article, the following vascular pathologies of the spine are described: spinal arterial infarcts, spinal cavernomas, and arteriovenous malformations (including perimedullary fistulae and glomerular arterivenous malformations), and spinal dural arteriovenous fistulae. This article gives an overview about their imaging features on MRI, MR angiography, and digital subtraction angiography. Clinical differential diagnoses, the neurologic symptomatology, and the potential therapeutic approaches of these diseases, which might vary depending on the underlying pathologic condition, are given.

摘要

脊髓血管疾病较为罕见,仅占所有血管性神经病理学疾病的1%至2%。本文将描述以下脊柱血管病变:脊髓动脉梗死、脊髓海绵状血管瘤、动静脉畸形(包括髓周瘘和肾小球动静脉畸形)以及脊髓硬脊膜动静脉瘘。本文概述了它们在磁共振成像(MRI)、磁共振血管造影(MRA)和数字减影血管造影(DSA)上的影像学特征。还给出了这些疾病的临床鉴别诊断、神经症状学以及可能因基础病理状况而异的潜在治疗方法。

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