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[脊柱与脊髓的炎性疾病]

[Inflammatory diseases of the spinal column and the myelon].

作者信息

Ahlhelm F J, Lieb J M, Ulmer S, Sprenger T, Stippich C, Kelm J

机构信息

Abteilung für Diagnostische und Interventionelle Neuroradiologie, Klinik für Radiologie und Nuklearmedizin, Universitätsspital Basel, Petersgraben 4, CH-4031, Basel, Schweiz.

出版信息

Radiologe. 2011 Sep;51(9):763-71. doi: 10.1007/s00117-011-2144-8.

Abstract

Inflammatory diseases of the spine and the spinal cord (myelon) can be caused by a wide range of pathological conditions. Except for degenerative inflammatory diseases of the spine, infectious and autoimmune disorders are relatively rare. The latter can also be a significant source of pain and disability, especially if these hard to diagnose conditions go untreated. In cases of advanced disease some entities, such as spondylodiscitis or rheumatoid arthritis can cause severe neurological impairment especially by progressive intraspinal spread. Inflammation of the myelon cannot be depicted with conventional radiographs in general and by computed tomography only occasionally. In these cases magnetic resonance imaging is the method of choice to detect early abnormalities of the myelon and to provide detailed information for the differential diagnosis.

摘要

脊柱和脊髓的炎性疾病可由多种病理状况引起。除脊柱的退行性炎性疾病外,感染性和自身免疫性疾病相对少见。后者也可能是疼痛和残疾的重要来源,特别是如果这些难以诊断的疾病得不到治疗。在疾病晚期,一些病症,如脊椎椎间盘炎或类风湿性关节炎,可导致严重的神经功能损害,尤其是通过脊髓内的渐进性扩散。一般来说,传统的X线片无法显示脊髓炎,计算机断层扫描也只是偶尔能显示。在这些情况下,磁共振成像(MRI)是检测脊髓早期异常并为鉴别诊断提供详细信息的首选方法。

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