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退行性颈椎脊髓病：27例连续病例的神经放射学、神经生理学及临床相关性

Degenerative cervical myelopathy: Neuroradiological, neurophysiological and clinical correlations in 27 consecutive cases.

作者信息

Soda C, Squintani G, Teli M, Marchesini N, Ricci U M, D'Amico A, Basaldella F, Concon E, Tramontano V, Romito S, Tommasi N, Pinna G, Sala F

机构信息

Department of Neurosurgery, AOUI Borgo Trento Hospital, Verona, Italy.

Neurology Unit, AOUI Borgo Trento Hospital, Verona, Italy.

出版信息

Brain Spine. 2022 Jul 8;2:100909. doi: 10.1016/j.bas.2022.100909. eCollection 2022.

DOI:10.1016/j.bas.2022.100909
PMID:36248151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9560670/
Abstract

•New insight into prognostic factors for recovery of clinical function following posterior decompression for degenerative cervical myelopathy.•An increase of IOM amplitude of at least 50% coupled with preoperative T2-only and diffuse T2 signal changes on MRI is a positive prognostic factors for clinical improvement 6 months after surgery.•Clinical improvement at 6 months follow-up can be expected in patients with T1 hypo intensity if a diffuse border of the lesion on T2 images is present.

摘要

• 对退行性颈椎脊髓病后路减压术后临床功能恢复的预后因素有了新认识。

• 体感诱发电位波幅至少增加50%，同时术前MRI仅表现为T2加权像及弥漫性T2信号改变，是术后6个月临床改善的阳性预后因素。

• 如果T2图像上病变边界弥漫，T1加权像低信号的患者在6个月随访时有望实现临床改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/722e/9560670/c0357738dc39/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/722e/9560670/11f839f67db7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/722e/9560670/3c67167b7411/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/722e/9560670/d1871b34494c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/722e/9560670/c0357738dc39/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/722e/9560670/11f839f67db7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/722e/9560670/3c67167b7411/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/722e/9560670/d1871b34494c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/722e/9560670/c0357738dc39/gr4.jpg

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Front Neurosci. 2020 Apr 30;14:138. doi: 10.3389/fnins.2020.00138. eCollection 2020.
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Eur Spine J. 2020 Jun;29(6):1219-1226. doi: 10.1007/s00586-020-06381-z. Epub 2020 Apr 4.
3
Cervical Spondylotic Myelopathy: Natural Course and the Value of Diagnostic Techniques -WFNS Spine Committee Recommendations.
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