Kranz Peter G, Amrhein Timothy J
Division of Neuroradiology, Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710, USA.
Division of Neuroradiology, Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710, USA.
Radiol Clin North Am. 2019 Mar;57(2):257-279. doi: 10.1016/j.rcl.2018.09.006. Epub 2018 Dec 5.
Myelopathy refers to any pathologic process that involves the spinal cord, and can be caused by a variety of different diseases. MR imaging is the primary modality for evaluating the patient presenting with myelopathy. The first step must be the exclusion of spinal cord compression. Although the MR features of many causes of myelopathy overlap, careful attention to the time course of presentation, knowledge of common and uncommon causes of myelopathy, and identification of specific imaging patterns and features can help narrow the differential diagnosis or establish a definitive diagnosis.
脊髓病是指任何累及脊髓的病理过程，可由多种不同疾病引起。磁共振成像（MR）是评估脊髓病患者的主要检查方式。首要步骤必须是排除脊髓受压情况。尽管许多脊髓病病因的MR特征相互重叠，但仔细关注症状出现的时间过程、了解脊髓病的常见和罕见病因以及识别特定的影像表现和特征，有助于缩小鉴别诊断范围或确立明确诊断。
