亚急性进行性脊髓病：横断性脊髓炎还是亚急性联合变性？一例报告。

Subacute Progressive Myelopathy: Transverse Myelitis or Subacute Combined Degeneration? A Case Report.

机构信息

Department of Rehabilitation Medicine, University of Washington, Box 356490, Seattle, WA 98195.

Departments of Rehabilitation Medicine and Pediatrics, Seattle Children's Hospital, University of Washington, Seattle, WA.

出版信息

PM R. 2018 Mar;10(3):320-324. doi: 10.1016/j.pmrj.2017.07.076. Epub 2017 Aug 7.

DOI:10.1016/j.pmrj.2017.07.076

PMID:28797832

Abstract

UNLABELLED

Evolving subacute myelopathies have many possible etiologies. This is a report of a patient who presented with progressive paresthesias, proprioceptive loss, and gait disturbance with acute myelitis seen on magnetic resonance imaging initially concerning for transverse myelitis. However, she also had vitamin B12 deficiency, and her clinical course ultimately suggested a diagnosis more compatible with subacute combined degeneration. The clinical features, laboratory, and imaging findings and prognosis of the 2 disorders are compared.

LEVEL OF EVIDENCE

摘要

未阐明

进展性亚急性脊髓病有许多可能的病因。本报告介绍了 1 例患者，其最初表现为进行性感觉异常、本体感觉丧失和步态障碍，伴有急性脊髓炎的磁共振成像表现，最初考虑为横贯性脊髓炎。然而，她还存在维生素 B12 缺乏，其临床过程最终提示更符合亚急性联合变性的诊断。比较了这两种疾病的临床特征、实验室和影像学发现及预后。