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脊髓空洞症一例的胃肠通过闪烁扫描术

Gastrointestinal Transit Scintigraphy in a Case of Syringomyelia.

作者信息

Infante Jose Rafael, Moreno Manuel, Martínez Andrés, Rayo Juan Ignacio, Serrano Justo, Cobo Amparo, Jimenez Pedro

机构信息

Department of Nuclear Medicine, Complejo University Hospital, Badajoz, Spain.

出版信息

Indian J Nucl Med. 2019 Oct-Dec;34(4):347-348. doi: 10.4103/ijnm.IJNM_101_19.

Abstract

Syringomyelia is a rare degenerative disease affecting the spinal cord and brain stem causing progressive neurological dysfunction. The presence of gastrointestinal symptoms in these patients is common, although references related to nuclear medicine imaging procedures in this pathology are limited, focusing on the study of gastric emptying. We present a 47-year-old male patient diagnosed with syringomyelia and persistent digestive symptoms who underwent gastrointestinal transit scintigraphy to assess the extent of dysmotility. Liquid gastric emptying and small-bowel transit were normal. Large bowel showed poor activity in descending and rectosigmoid colon, being compatible with generalized slow colon transit.

摘要

脊髓空洞症是一种罕见的退行性疾病,影响脊髓和脑干,导致进行性神经功能障碍。这些患者出现胃肠道症状很常见,尽管关于这种病理状态下核医学成像检查的参考文献有限,主要集中在胃排空的研究上。我们报告一名47岁男性患者,诊断为脊髓空洞症且有持续的消化症状,该患者接受了胃肠通过闪烁扫描以评估运动障碍的程度。液体胃排空和小肠通过正常。大肠在降结肠和直肠乙状结肠段显示活动不佳,符合结肠普遍传输缓慢。

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