Department of Neurology, Mayo Clinic, Jacksonville, Florida.
Department of Neurology, Mayo Clinic, Scottsdale, Arizona.
Semin Neurol. 2021 Jun;41(3):256-268. doi: 10.1055/s-0041-1725124. Epub 2021 May 19.
Vascular disorders of the spinal cord are uncommon yet under-recognized causes of myelopathy. Etiologies can be predominantly categorized into clinical and radiographic presentations of arterial ischemia, venous congestion/ischemia, hematomyelia, and extraparenchymal hemorrhage. While vascular myelopathies often produce significant morbidity, recent advances in the understanding and recognition of these disorders should continue to expedite diagnosis and proper management, and ideally improve patient outcomes. This article comprehensively reviews relevant spinal cord vascular anatomy, clinical features, radiographic findings, treatment, and prognosis of vascular disorders of the spinal cord.
脊髓血管疾病虽不常见,但却是脊髓病认识不足的原因。病因主要可分为动脉缺血、静脉充血/缺血、脊髓血肿和实质外出血的临床表现和影像学表现。虽然血管性脊髓病常导致严重的发病率,但对这些疾病的理解和认识的最新进展应继续加快诊断和适当的管理,并理想地改善患者的预后。本文全面回顾了脊髓血管疾病的相关脊髓血管解剖、临床特征、影像学表现、治疗和预后。