脊髓脊膜膨出修补术后的磁共振成像——31例儿童和青少年的研究结果

Magnetic resonance imaging of postrepair-myelomeningocele--findings in 31 children and adolescents.

作者信息

Just M, Ermert J, Higer H P, Voth D, Schwarz M, Pfannenstiel P

机构信息

Deutsche Klinik für Diagnostik, Fachbereich Kernspintomographie, Wiesbaden, West Germany.

出版信息

Neurosurg Rev. 1987;10(1):47-52. doi: 10.1007/BF01780594.

DOI:10.1007/BF01780594

PMID:3670627

Abstract

Magnetic resonance imaging has clearly demonstrated its efficacy in the diagnosis of pathological processes in the C.N.S. We examined 31 children who had undergone plastic closure of myelomeningocele a few days post partum. We could show that a high percentage of the patients (89%) presented the pathological anatomy of a tethered spinal cord; clinical symptoms of the tethered spinal cord syndrome, i.e. progressive neurological symptoms, however, are rarely observed. Possible revision of neurosurgical treatment of MMC is discussed.

摘要

磁共振成像已清楚地证明其在诊断中枢神经系统病理过程中的有效性。我们检查了31名产后几天接受脊髓脊膜膨出整形闭合术的儿童。我们可以表明，高比例的患者（89%）呈现出脊髓栓系的病理解剖结构；然而，很少观察到脊髓栓系综合征的临床症状，即进行性神经症状。文中讨论了脊髓脊膜膨出神经外科治疗可能的修正方案。