Duca S, Zanalda E, Ventrella Torta I, Torta R
Reparto Neuropsichiatrico, Ospedale Koelliker, Torino.
Minerva Pediatr. 1990 Jan-Feb;42(1-2):45-8.
The case of a ten years old boy who presented a sudden onset of tetraplegia is discussed. The benign clinical evolution, under corticosteroid therapy, the negativity of biohumoral examinations of the cerebrospinal fluid and the improvement of the NMR pictures allow the diagnosis of acute spinal myelitis. In the paper are also presented the neuroradiological pictures of myeloCT and NMR; the last one can, for its sensibility, discover little variations in the water contents of the nervous tissue and for its harmlessness can be used for serial examinations.
本文讨论了一名10岁男孩突然出现四肢瘫痪的病例。在皮质类固醇治疗下临床症状呈良性发展,脑脊液生物体液检查呈阴性,核磁共振成像有所改善,这些都支持急性脊髓炎的诊断。本文还展示了脊髓CT和核磁共振成像的神经放射学图像;核磁共振成像因其敏感性能够发现神经组织含水量的细微变化,且因其无害性可用于系列检查。