Yokota Hajime, Yamada Kei
Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan; Department of Diagnostic Radiology and Radiation Oncology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Neuroimaging Clin N Am. 2015 May;25(2):247-58. doi: 10.1016/j.nic.2015.01.005. Epub 2015 Mar 3.
This article summarizes myelopathy and radiculopathy caused by different viruses. The cases described are divided into three categories: acute myelitis and radiculitis, postinfectious myelopathy and radiculopathy, and chronic myelopathy. Some diseases present with characteristic imaging findings. For example, varicella zoster virus tends to injure the dorsal column, whereas poliovirus tends to injure the frontal horns. Magnetic resonance (MR) imaging is an essential tool in diagnosis. However, because imaging findings are often nonspecific, consideration of a combination of diagnostic procedures, including the clinical course, symptoms, and laboratory data, is necessary for making a correct diagnosis.
本文总结了由不同病毒引起的脊髓病和神经根病。所描述的病例分为三类:急性脊髓炎和神经根炎、感染后脊髓病和神经根病以及慢性脊髓病。一些疾病具有特征性的影像学表现。例如,水痘带状疱疹病毒倾向于损伤脊髓后索,而脊髓灰质炎病毒倾向于损伤前角。磁共振(MR)成像在诊断中是一项重要工具。然而,由于影像学表现往往不具有特异性,因此为了做出正确诊断,需要综合考虑包括临床病程、症状和实验室数据在内的多种诊断方法。