Pou Serradell A, Mares Segura R
Service de Neurologie, Hôpital Na Sra del Mar, Université, Autonome.
Rev Neurol (Paris). 1988;144(3):181-93.
Twenty-two patients with syringomyelia were investigated clinically and by MR imaging using clearly defined clinical and radiologic protocols. Intramedullary cavities were identified by MR images in 20 cases and by CT scanning after intrathecal injection of Metrizamide in two cases. In all but one case, when the clinical picture was purely motor, concordance was established between clinical findings and morphologic type of intramedullary cavity. Syringomyelic syndromes should now be defined not only on the basis of clinical data but on clinicoradiologic features. The examination of choice is MR imaging, because of its reliability and safety and because it allows tridimensional analysis of cavities and associated malformations. Results of MR imaging exploration suggest a possible improved physiopathologic approach to the disease and more effective therapeutic procedures.
对22例脊髓空洞症患者进行了临床研究，并采用明确的临床和放射学方案进行磁共振成像（MR）检查。20例通过MR图像发现髓内空洞，2例通过鞘内注射甲泛葡胺后的CT扫描发现。除1例临床表现单纯为运动症状的病例外，其余病例的临床发现与髓内空洞的形态学类型之间均建立了一致性。现在，脊髓空洞症综合征不仅应根据临床数据来定义，还应根据临床放射学特征来定义。首选的检查方法是MR成像，因为它具有可靠性和安全性，并且能够对空洞及相关畸形进行三维分析。MR成像检查结果提示，可能会对该疾病的病理生理学研究方法有所改进，并使治疗程序更有效。
