磁共振成像作为炎症性非创伤性寰枢椎旋转半脱位患儿的主要影像学检查方法
Magnetic Resonance Imaging as the Primary Imaging Modality in Children Presenting with Inflammatory Nontraumatic Atlantoaxial Rotatory Subluxation.
作者信息
Wenger Katharina J, Hattingen Elke, Porto Luciana
机构信息
Institute of Neuroradiology, University Hospital Frankfurt, Goethe University, 60528 Frankfurt am Main, Germany.
出版信息
Children (Basel). 2021 Apr 23;8(5):329. doi: 10.3390/children8050329.
Abstract
Inflammatory nontraumatic atlantoaxial rotatory subluxation (AAS) in children is an often-missed diagnosis, especially in the early stages of disease. Abscess formation and spinal cord compression are serious risks that call for immediate surgical attention. Neither radiographs nor non-enhanced computed tomography (CT) images sufficiently indicate inflammatory processes. Magnetic resonance imaging (MRI) allows a thorough evaluation of paraspinal soft tissues, joints, and ligaments. In addition, it can show evidence of vertebral distraction and spinal cord compression. After conducting a scoping review of the literature, along with scientific and practical considerations, we outlined a standardized pediatric MRI protocol for suspected inflammatory nontraumatic AAS. We recommend contrast-enhanced MRI as the primary diagnostic imaging modality in children with signs of torticollis in combination with nasopharyngeal inflammatory or ear nose and throat (ENT) surgical history.
摘要
儿童炎性非创伤性寰枢椎旋转半脱位（AAS）常常漏诊，尤其是在疾病早期。脓肿形成和脊髓受压是严重风险，需要立即进行手术治疗。X线片和非增强计算机断层扫描（CT）图像均不能充分显示炎症过程。磁共振成像（MRI）可全面评估椎旁软组织、关节和韧带。此外，它还能显示椎体分离和脊髓受压的迹象。在对文献进行范围综述并结合科学和实际考虑后，我们制定了针对疑似炎性非创伤性AAS的标准化儿科MRI检查方案。对于有斜颈体征且伴有鼻咽部炎症或耳鼻喉（ENT）手术史的儿童，我们建议将增强MRI作为主要的诊断成像方式。
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2
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