Continuum (Minneap Minn). 2021 Feb 1;27(1):30-61. doi: 10.1212/CON.0000000000000905.
Neurologists should be able to identify clinical and neuroimaging features that distinguish vascular disorders from other causes of myelopathy.
Although certain clinical features suggest a vascular etiology in acute and chronic myelopathy settings, accurate MRI interpretation within the clinical context is key. Recent studies have shown vascular myelopathies are frequently misdiagnosed as transverse myelitis, and recognition of this diagnostic pitfall is important. Many different vascular mechanisms can cause myelopathy; this article provides a comprehensive review that simplifies disease categories into arterial ischemia, venous congestion/ischemia, hematomyelia, and extraparenchymal hemorrhage.
It is important to recognize and manage vascular disorders of the spinal cord as significant causes of acute, subacute, and progressive myelopathy.
神经科医生应当能够识别出临床和神经影像学特征，以区分血管性疾病与其他脊髓病变的病因。
尽管某些临床特征提示急性和慢性脊髓病变中存在血管性病因，但在临床背景下进行准确的 MRI 解读是关键。最近的研究表明，血管性脊髓病经常被误诊为横贯性脊髓炎，认识到这一诊断陷阱很重要。许多不同的血管机制可导致脊髓病；本文提供了一个全面的综述，将疾病类别简化为动脉缺血、静脉充血/缺血、脊髓血肿和实质外出血。
识别和治疗脊髓血管疾病是急性、亚急性和进行性脊髓病变的重要原因。
