Department of Neuroradiology, Erasme Hospital, University of Brussels (ULB), Brussels, Belgium.
Department of Neuroradiology, Erasme Hospital, University of Brussels (ULB), Brussels, Belgium.
Clin Imaging. 2019 Sep-Oct;57:56-68. doi: 10.1016/j.clinimag.2019.05.002. Epub 2019 May 17.
Myelopathies have multiple causes and broad differential diagnoses, including demyelinating, metabolic, vascular and neoplastic disorders, often with distinctive imaging manifestations. Compressive myelopathy, especially of degenerative and neoplastic origin, is the most common cause of myelopathy, followed by inflammatory disorders such as multiple sclerosis, acute disseminating encephalomyelitis, neuromyelitis optica, and transverse myelitis of other etiologies. An accurate and early diagnosis will guide the treatment and will provide information about the prognosis of the patient. The aim of this review is to illustrate the magnetic resonance imaging features of different etiologies of myelopathy.
脊髓病有多种病因和广泛的鉴别诊断，包括脱髓鞘、代谢、血管和肿瘤性疾病，常伴有独特的影像学表现。压迫性脊髓病，尤其是退行性和肿瘤性起源，是脊髓病最常见的原因，其次是炎症性疾病，如多发性硬化症、急性播散性脑脊髓炎、视神经脊髓炎和其他病因的横贯性脊髓炎。准确和早期的诊断将指导治疗，并提供有关患者预后的信息。本文旨在阐述不同病因脊髓病的磁共振成像特征。
