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脊髓缺血导致的突发双下肢轻瘫，初始磁共振成像显示马尾神经强化，随访磁共振成像出现延迟性“猫头鹰眼”征：一例报告

Sudden paraparesis due to spinal cord ischemia with initial contrast enhancement of the cauda equina and time-delayed owl-eyes sign on follow-up MR imaging: a case report.

作者信息

Breitling Benedict, Schmeel Frederic Carsten, Radbruch Alexander, Kaut Oliver

机构信息

Department of Neurology, University Clinic Bonn, Venusberg Campus 1, 53105, Bonn, Germany.

Department of Neuroradiology, University Clinic Bonn, Bonn, Germany.

出版信息

Neurol Res Pract. 2021 Apr 1;3(1):13. doi: 10.1186/s42466-021-00112-5.

DOI:10.1186/s42466-021-00112-5
PMID:33789775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8015166/
Abstract

We report on a case of a 52-year-old male with sudden paraparesis. The initial MRI showed contrast enhancement of the conus medullaris and the complete cauda equina. Follow-up MRI revealed a spinal ischemia in the anterior portion of the spinal cord. Only a few reports with similar findings have been published. We suggest that contrast enhancement of the conus medullaris and descending nerve roots can be a potential first indicator of a spinal cord ischemia.

摘要

我们报告一例52岁男性突发双下肢轻瘫的病例。最初的MRI显示圆锥和整个马尾有强化表现。随访MRI显示脊髓前部存在脊髓缺血。仅有少数几篇报道有类似发现。我们认为圆锥和下行神经根的强化可能是脊髓缺血的一个潜在早期指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5100/8015166/749c08a0a89c/42466_2021_112_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5100/8015166/499ceba3ef9f/42466_2021_112_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5100/8015166/749c08a0a89c/42466_2021_112_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5100/8015166/499ceba3ef9f/42466_2021_112_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5100/8015166/749c08a0a89c/42466_2021_112_Fig2_HTML.jpg

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本文引用的文献

1
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BMC Neurol. 2019 Dec 17;19(1):328. doi: 10.1186/s12883-019-1566-1.
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Characteristics of Spontaneous Spinal Cord Infarction and Proposed Diagnostic Criteria.自发性脊髓梗死的特征及诊断标准建议。
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