Uchino A, Mori T, Ohno M
Department of Radiology, Kyushu Rosai Hospital.
Nihon Igaku Hoshasen Gakkai Zasshi. 1991 Apr 25;51(4):375-9.
Magnetic resonance (MR) images of 20 patients with medullary infarction have been reviewed. All patients were imaged on a 1.5 Tesla high-field scanner (GE, Signa). Clinical diagnoses of these 20 patients were Wallenberg's syndrome (15), cerebellar infarct (3), right hemiparesis (1), and multiple cerebral infarcts (1). Locations of infarct were right lateral (8), right postero-lateral (2), left lateral (5), left postero-lateral (4) and left anterior (1). Associated ipsilateral cerebellar infarcts were observed in six patients. Ipsilateral vertebral artery (VA) occlusions were detected in six patients, and VA aneurysm in two. Thus, MR imaging is a pertinent diagnostic modality for evaluating medullary infarction and associated vascular diseases.
对20例延髓梗死患者的磁共振(MR)图像进行了回顾。所有患者均在1.5特斯拉高场扫描仪(GE,Signa)上进行成像。这20例患者的临床诊断为延髓背外侧综合征(15例)、小脑梗死(3例)、右侧偏瘫(1例)和多发性脑梗死(1例)。梗死部位为右侧外侧(8例)、右侧后外侧(2例)、左侧外侧(5例)、左侧后外侧(4例)和左侧前部(1例)。6例患者观察到同侧小脑梗死。6例患者检测到同侧椎动脉(VA)闭塞,2例患者检测到VA动脉瘤。因此,MR成像对于评估延髓梗死及相关血管疾病是一种相关的诊断方式。