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脊髓脊膜膨出症中脊髓的磁共振成像

Magnetic resonance imaging of the spinal cord in spinal dysraphisms.

作者信息

Szalay E A, Roach J W, Smith H, Maravilla K, Partain C L

出版信息

J Pediatr Orthop. 1987 Sep-Oct;7(5):541-5. doi: 10.1097/01241398-198709000-00008.

DOI:10.1097/01241398-198709000-00008
PMID:3624464
Abstract

Magnetic resonance imaging (MRI) was performed 49 times in 42 patients with spinal dysraphism. Scoliosis and a changing neurological picture were the primary indications. Spinal cord anomalies included hydromyelia, diastematomyelia, lipoma, thickened filum terminali, and spinal cord atrophy. All but one patient exhibited Arnold-Chiari malformation. Twenty-two of the 42 patients had computed tomography (CT) scans, myelograms, or operations that corroborated the 41 MRI findings. Three false-positive MRI findings of hydromyelia and no false-negative studies were observed. MRI is a noninvasive investigative technique that provides more information than myelography or CT in defining spinal cord anatomy in spinal dysraphism.

摘要

对42例脊髓发育不良患者进行了49次磁共振成像(MRI)检查。脊柱侧弯和神经系统症状变化是主要指征。脊髓异常包括脊髓积水、脊髓纵裂、脂肪瘤、终丝增粗和脊髓萎缩。除1例患者外,所有患者均有阿诺德 - 基亚里畸形。42例患者中有22例进行了计算机断层扫描(CT)、脊髓造影或手术,这些检查结果证实了41项MRI检查结果。观察到3例假阳性脊髓积水MRI结果,未发现假阴性研究。MRI是一种非侵入性检查技术,在明确脊髓发育不良的脊髓解剖结构方面,它比脊髓造影或CT能提供更多信息。

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