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脊髓纵裂畸形的磁共振成像特征

MRI Characteristics of Split Cord Malformation.

作者信息

Jiblawi Ahmad, Chanbour Hani, Tayba Azzam, Khayat Haissam, Jiblawi Khaled

机构信息

Radiology, American University of Beirut Medical Center, Beirut, LBN.

Faculty of Medicine, Lebanese University, Beirut, LBN.

出版信息

Cureus. 2021 Sep 27;13(9):e18328. doi: 10.7759/cureus.18328. eCollection 2021 Sep.

DOI:10.7759/cureus.18328
PMID:34725591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8553275/
Abstract

Split cord malformation (SCM), a subtype of spinal dysraphism, represents a rare entity of congenital malformation in the spine that occurs rarely in adults. SCM commonly presents with back pain. MRI is the gold standard for diagnosis. We report a case of a previously healthy 25-year-old woman who presented with lower back pain for a duration of 6 months. MRI confirmed a diagnosis of type I SCM. This case highlights the neuroimaging characteristics of SCM, although it might remain asymptomatic for many years. Surgical intervention might not be indicated in case of absent clinical complications.

摘要

脊髓纵裂畸形(SCM)是脊柱裂的一种亚型,是一种罕见的先天性脊柱畸形,在成年人中很少见。SCM通常表现为背痛。磁共振成像(MRI)是诊断的金标准。我们报告一例病例,一名25岁既往健康的女性,出现下背部疼痛6个月。MRI确诊为I型SCM。该病例突出了SCM的神经影像学特征,尽管它可能多年无症状。如果没有临床并发症,可能不需要手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fc/8553275/da4f075e3aaf/cureus-0013-00000018328-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fc/8553275/1be45e90c1c2/cureus-0013-00000018328-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fc/8553275/da4f075e3aaf/cureus-0013-00000018328-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fc/8553275/1be45e90c1c2/cureus-0013-00000018328-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fc/8553275/da4f075e3aaf/cureus-0013-00000018328-i02.jpg

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本文引用的文献

1
Split cord malformation in adults: Literature review and classification.成人脊髓分裂畸形:文献回顾与分类。
Clin Neurol Neurosurg. 2020 Jun;193:105733. doi: 10.1016/j.clineuro.2020.105733. Epub 2020 Feb 8.
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Diastematomyelia - Imaging Findings, Case Report.脊髓纵裂 - 影像学表现及病例报告
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Diastematomyelia - a report of two cases.脊髓纵裂——两例报告
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Prenatal diagnosis of diastematomyelia in a 15-week-old fetus.15周龄胎儿脊髓纵裂的产前诊断。
Fetal Diagn Ther. 2005 Jul-Aug;20(4):258-61. doi: 10.1159/000085081.
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Diastematomyelia: a critical review of the natural history and treatment.脊髓纵裂:自然史与治疗的批判性综述
Spine (Phila Pa 1976). 1984 May-Jun;9(4):367-72. doi: 10.1097/00007632-198405000-00007.
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Split cord malformation: Part I: A unified theory of embryogenesis for double spinal cord malformations.脊髓纵裂畸形:第一部分:双脊髓畸形胚胎发生的统一理论。
Neurosurgery. 1992 Sep;31(3):451-80. doi: 10.1227/00006123-199209000-00010.