术后脊髓造影。蛛网膜炎及硬脑膜/蛛网膜撕裂的影像学评估。

The postoperative myelogram. Radiographic evaluation of arachnoiditis and dural/arachnoidal tears.

作者信息

Quencer R M, Tenner M, Rothman L

出版信息

Radiology. 1977 Jun;123(3):667-79. doi: 10.1148/123.3.667.

DOI:10.1148/123.3.667

PMID:193147

Abstract

Either arachnoriditis or dural/arachnoidal tears may cause symptoms in the postoperative spinal patient. Surgery and myelography as causes of arachnoiditis are discussed. Intradural arachnoid cyst formation and intramedullary cavitation may present as unusual sequelae of arachnoiditis. Extra-dural cysts and cerebrospinal fluid fistulas resulting from dural/arachnoidal tears are unusual postoperative complications presenting striking myelographic features. Their mechanisms of formation, clinical significance, and radiographic features are discussed.

摘要

蛛网膜炎或硬脑膜/蛛网膜撕裂都可能导致脊柱手术后患者出现症状。本文讨论了手术和脊髓造影作为蛛网膜炎病因的情况。硬脊膜内蛛网膜囊肿形成和脊髓空洞症可能是蛛网膜炎的罕见后遗症。硬脊膜外囊肿和硬脑膜/蛛网膜撕裂导致的脑脊液瘘是罕见的术后并发症，具有显著的脊髓造影特征。本文讨论了它们的形成机制、临床意义和影像学特征。