Department of Radiology, Sarah Network of Hospitals for Rehabilitation, Av. Juscelino Kubitschek 4500, Fortaleza, Brazil.
Clin Radiol. 2010 Oct;65(10):789-94. doi: 10.1016/j.crad.2010.06.001. Epub 2010 Jul 21.
To evaluate the magnetic resonance imaging (MRI) findings in painful hemiplegic shoulder (PHS) in hemiplegic post-stroke patients.
Patients with hemiplegia following their first cerebrovascular accident who were admitted to the Sarah Network of Hospitals for Rehabilitation were studied. Forty-five patients with pain in the hemiplegic shoulder and 23 post-stroke patients without shoulder pain were investigated. MRI and radiographic findings of the hemiplegic and contralateral asymptomatic shoulders were evaluated.
Some MRI findings were more frequent in PHS group, including synovial capsule thickening, synovial capsule enhancement, and enhancement in the rotator cuff interval.
Adhesive capsulitis was found to be a possible cause of PHS.
评估脑卒中后偏瘫患者疼痛性偏瘫肩（PHS）的磁共振成像（MRI）表现。
研究了因首次脑血管意外而偏瘫并入住萨拉康复医院网络的患者。共调查了 45 例偏瘫肩痛患者和 23 例无肩痛的脑卒中后患者。评估了偏瘫侧和对侧无症状肩的 MRI 和影像学表现。
PHS 组中一些 MRI 表现更为常见，包括滑膜囊增厚、滑膜囊增强和肩袖间隔增强。
黏连性关节囊炎可能是 PHS 的原因之一。
