一名患有脊髓痨男子的脊髓磁共振成像。
Magnetic resonance imaging of the spinal cord in a man with tabes dorsalis.
作者信息
Pandey Sanjay
机构信息
Department of Neurology, Institute of Human Behaviour and Allied Sciences, Delhi, India.
出版信息
J Spinal Cord Med. 2011 Nov;34(6):609-11. doi: 10.1179/2045772311Y.0000000041.
BACKGROUND
Tabes dorsalis is a late manifestation of untreated syphilis that is characterized by ataxia, lancinating pains, and urinary incontinence. A form of tertiary syphilis or neurosyphilis, it is the result of slow, progressive degeneration of the nerve cells in the spinal cord.
METHOD
Case report.
FINDINGS
A 39-year-old man presented with tingling paresthesia in the lower limbs, difficulty in walking, and loss of vision. Magnetic resonance imaging (MRI) of the dorsal spine showed intramedullary hyperintensity and cord atrophy, similar to changes seen in subacute combined degeneration. MRI features of tabes dorsalis have not been described previously to the best of our knowledge.
CONCLUSION
MRI findings in this patient with tabes dorsalis were similar to those seen in subacute combined degeneration, which is characterized predominantly by cord atrophy and intramedullary hyperintensities.
背景
脊髓痨是未经治疗的梅毒的晚期表现，其特征为共济失调、刺痛性疼痛和尿失禁。作为三期梅毒或神经梅毒的一种形式，它是脊髓神经细胞缓慢进行性退化的结果。
方法
病例报告。
结果
一名39岁男性出现下肢刺痛性感觉异常、行走困难和视力丧失。胸段脊柱的磁共振成像（MRI）显示髓内高信号和脊髓萎缩，类似于亚急性联合变性所见的变化。据我们所知，此前尚未描述过脊髓痨的MRI特征。
结论
该脊髓痨患者的MRI表现与亚急性联合变性相似，后者主要特征为脊髓萎缩和髓内高信号。
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