Wang Rong, Qiu Yong, Jiang Jian, Liu Zhijian
Department of Spine Surgery, Drum Tower Hospital, College of Medicine, Nanjing University, Nanjing, China.
Spine (Phila Pa 1976). 2007 Jul 15;32(16):E467-70. doi: 10.1097/BRS.0b013e3180dc980e.
A case report is presented.
To investigate atypical syringomyelia without cavity.
Syringomyelia without frank cavity is rarely reported. The MR imaging appearance of this atypical syringomyelia may help to understand the mechanism leading to the development of syringomyelia.
Data are given for one patient who underwent MR imaging; she had Chiari malformation and hydrocephalus.
The patient had enlarged spinal cords, and gray matter T2 prolongation without cavitation occurred in association with continued cerebrospinal fluid obstruction in upper spine and improved after surgical intervention 14 days later.
Obstruction of the cerebrospinal fluid pathways in the upper spine may result in spinal cord gray matter T2 prolongation that is reversible after restoration of patency of cerebrospinal fluid pathways and stress the importance of timely intervention to limit progression to syringomyelia.
本文呈现一例病例报告。
探讨无空洞的非典型脊髓空洞症。
无明显空洞的脊髓空洞症鲜有报道。这种非典型脊髓空洞症的磁共振成像表现可能有助于理解导致脊髓空洞症发生的机制。
提供了一名接受磁共振成像检查患者的数据；该患者患有Chiari畸形和脑积水。
该患者脊髓增粗，灰质T2信号延长且无空洞形成，同时上颈椎存在持续的脑脊液梗阻，14天后手术干预后病情改善。
上颈椎脑脊液通路梗阻可能导致脊髓灰质T2信号延长，在脑脊液通路恢复通畅后这种改变是可逆的，并强调了及时干预以限制进展为脊髓空洞症的重要性。
Zotero 插件