Bonatti G, Ortore P
Istituto di Radiologia Diagnostica, Ospedale Generale Regionale, Bolzano.
Radiol Med. 1987 Nov;74(5):451-4.
In each patient (two meningiomas, two lymphomas, one spine fracture) myelography demonstrated only the lower level of the block, but not enough contrast medium leaked past the block to allow myelographic identification of the upper level. On the contrary, thanks to its high power of contrast resolution, CT immediately after myelography clearly outlined the subarachnoid space both below and above the level of the block. Descending myelography was therefore not necessary. Moreover, CT also revealed associated bone and soft tissue lesions, in two cases, providing a more accurate diagnosis. It is therefore concluded that combined myelography+CT can provide complete diagnosis of spinal blocks and any associated lesions.
在每位患者(2例脑膜瘤、2例淋巴瘤、1例脊柱骨折)中,脊髓造影仅显示了梗阻的较低平面,但没有足够的造影剂漏过梗阻平面,无法通过脊髓造影确定梗阻的较高平面。相反,由于其高对比度分辨率,脊髓造影后立即进行的CT清晰地勾勒出了梗阻平面上下的蛛网膜下腔。因此,下行性脊髓造影没有必要。此外,CT还在2例病例中发现了相关的骨骼和软组织病变,从而提供了更准确的诊断。因此得出结论,脊髓造影+CT联合检查能够对脊髓梗阻及任何相关病变做出完整诊断。