Chiari I型畸形的自然缓解。病例报告及文献综述。
Spontaneous resolution of Chiari type 1 malformation. A case report and literature review.
作者信息
Briganti F, Leone G, Briganti G, Orefice G, Caranci F, Maiuri F
机构信息
Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
出版信息
Neuroradiol J. 2013 Jun;26(3):304-9. doi: 10.1177/197140091302600309. Epub 2013 Jul 16.
Abstract
We describe a 62-year-old woman who presented with a history of ataxia, dizziness and urinary urgency. Neurological examination disclosed a positive Romberg sign, ataxia and postural instability. A magnetic resonance imaging (MRI) scan showed Chiari type 1 malformation (CM1). Forty-eight months later, the patient was clinically improved and underwent a second MRI examination, which showed complete resolution of the Chiari 1 malformation. Spontaneous resolution of CM1 is exceptionally rare and has to be considered in the radiological and clinical management.
摘要
我们描述了一位62岁女性，她有共济失调、头晕和尿急病史。神经系统检查发现闭目难立征阳性、共济失调和姿势不稳。磁共振成像（MRI）扫描显示为Chiari 1型畸形（CM1）。48个月后，患者临床症状改善并接受了第二次MRI检查，结果显示Chiari 1型畸形完全消失。CM1的自发缓解极为罕见，在影像学和临床处理时均应予以考虑。
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