Udaka F, Tsuji T, Shigematsu K, Kawanishi T, Kameyama M
Department of Neurology, Sumitomo Hospital.
Rinsho Shinkeigaku. 1990 Apr;30(4):439-43.
One patient who underwent radiation therapy for laryngeal cancer two years earlier developed chronic progressive radiation myelopathy and exhibited localized swelling of the cervical spinal cord at the C4 level and resultant blocking of the subarachnoid space on myelography and CT myelography. The condition responded markedly to the administration of corticosteroid except for persisting mild spasticity and sensory disturbances. On myelography and CT myelography half a year later, the cervical spinal cord showed no swelling. The corticosteroid therapy is considered to be useful for radiation myelopathy.
一名两年前接受喉癌放射治疗的患者发生了慢性进行性放射性脊髓病,在C4水平出现颈段脊髓局限性肿胀,脊髓造影和CT脊髓造影显示蛛网膜下腔阻塞。除持续存在轻度痉挛和感觉障碍外,该病情对皮质类固醇治疗反应显著。半年后的脊髓造影和CT脊髓造影显示,颈段脊髓无肿胀。皮质类固醇疗法被认为对放射性脊髓病有用。