Nilsson O, Larsson E M, Holtås S
Department of Neurology, University Hospital, Lund, Sweden.
Acta Neurol Scand. 1987 Oct;76(4):272-7. doi: 10.1111/j.1600-0404.1987.tb03580.x.
Seven patients with isolated spinal cord symptoms, and with evoked potential (EP) recordings and/or cerebrospinal fluid (CSF) findings supporting a demyelinating cause for their myelopathy, were examined with cervical and cranial magnetic resonance imaging (MRI). Lesions in the cervical spinal cord were detected in 6 of the patients, including 2 who also had disseminated lesions in the brain compatible with multiple sclerosis (MS). In one patient MRI of the cervical spinal cord was normal, while plaques were seen in the periventricular region of the brain and in the brain stem. Thus, in the 3 patients with cerebral plaques, MRI supported the diagnosis of MS by showing dissemination in space. In the remaining 4 patients MRI provided support for the diagnosis of MS by demonstrating the cervical spinal cord plaques while excluding other potential causes of myelopathy, such as spinal cord compression and intramedullary tumor.
对7例仅有脊髓症状且诱发电位（EP）记录和/或脑脊液（CSF）检查结果支持其脊髓病为脱髓鞘病因的患者进行了颈椎和头颅磁共振成像（MRI）检查。6例患者的颈髓发现病变，其中2例脑部也有符合多发性硬化（MS）的散在病变。1例患者颈髓MRI正常，但在脑室周围区域和脑干可见斑块。因此，在3例有脑内斑块的患者中，MRI通过显示空间多发支持MS的诊断。在其余4例患者中，MRI通过显示颈髓斑块同时排除脊髓病的其他潜在病因，如脊髓压迫和髓内肿瘤，支持MS的诊断。
