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脊髓型颈椎病在脊髓磁共振成像上表现为“薄饼样强化”：一例病例报告及文献复习

Cervical spondylotic myelopathy presenting as a "pancake enhancement" on MRI of the spinal cord: A case report and review of literature.

作者信息

Sharma Nava Raj, Sharma Bharosa, Lamichhane Saral, Pokhrel Madalasa, Shrestha Prajwal

机构信息

Department of Internal Medicine Manipal College of Medical Sciences Pokhara Nepal.

Department of Internal Medicine John H. Stroger Jr. Hospital of Cook County Chicago Illinois USA.

出版信息

Clin Case Rep. 2023 Mar 8;11(3):e7052. doi: 10.1002/ccr3.7052. eCollection 2023 Mar.

DOI:10.1002/ccr3.7052
PMID:36911632
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9994163/
Abstract

Spondylotic myelopathy involves chronic spinal cord compression from degenerative spine changes presenting a myriad of neurological and pain symptoms. We report a case of cervical myelopathy with transverse pancake-like gadolinium enhancement seen on MRI in a 42-year-old gentleman with progressive bilateral upper extremity numbness, tingling, and impaired gait.

摘要

脊髓型颈椎病是由脊柱退变引起的慢性脊髓压迫，可出现多种神经症状和疼痛症状。我们报告一例42岁男性患者，患有颈椎脊髓病，MRI显示横贯性薄饼样钆增强，伴有进行性双侧上肢麻木、刺痛和步态障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91cb/9994163/1f387261f7e6/CCR3-11-e7052-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91cb/9994163/3ae40ac8aec1/CCR3-11-e7052-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91cb/9994163/1f387261f7e6/CCR3-11-e7052-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91cb/9994163/3ae40ac8aec1/CCR3-11-e7052-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91cb/9994163/1f387261f7e6/CCR3-11-e7052-g002.jpg

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1
Cervical spondylotic myelopathy presenting as a "pancake enhancement" on MRI of the spinal cord: A case report and review of literature.脊髓型颈椎病在脊髓磁共振成像上表现为“薄饼样强化”：一例病例报告及文献复习
Clin Case Rep. 2023 Mar 8;11(3):e7052. doi: 10.1002/ccr3.7052. eCollection 2023 Mar.
2
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引用本文的文献

1
The "pancake-like" enhancement in cervical spondylotic myelopathy.脊髓型颈椎病中的“薄饼样”强化。
Radiol Case Rep. 2024 Jun 3;19(8):3503-3507. doi: 10.1016/j.radcr.2024.05.013. eCollection 2024 Aug.

本文引用的文献

1
MRI findings in cervical spondylotic myelopathy with gadolinium enhancement: Review of seven cases.钆增强下脊髓型颈椎病的MRI表现：7例病例回顾
BJR Case Rep. 2021 Jan 5;7(2):20200133. doi: 10.1259/bjrcr.20200133. eCollection 2021 Apr 1.
2
Approach to Myelopathy.脊髓病的诊疗方法
Continuum (Minneap Minn). 2018 Apr;24(2, Spinal Cord Disorders):386-406. doi: 10.1212/CON.0000000000000583.
3
Magnetic resonance imaging assessment of degenerative cervical myelopathy: a review of structural changes and measurement techniques.
退行性颈椎脊髓病的磁共振成像评估：结构变化与测量技术综述
Neurosurg Focus. 2016 Jun;40(6):E5. doi: 10.3171/2016.3.FOCUS1667.
4
Specific pattern of gadolinium enhancement in spondylotic myelopathy.颈椎病性脊髓病的特定钆增强模式。
Ann Neurol. 2014 Jul;76(1):54-65. doi: 10.1002/ana.24184. Epub 2014 Jun 14.
5
Teaching neuroimages: "pancake-like" gadolinium enhancement suggests compressive myelopathy due to spondylosis.教学神经影像：“薄饼样”钆增强提示颈椎病所致压迫性脊髓病。
Neurology. 2013 May 21;80(21):e229. doi: 10.1212/WNL.0b013e318293e346.
6
Spinal cord swelling with abnormal gadolinium-enhancement mimicking intramedullary tumors in cervical spondylosis patients: Three case reports and review of the literature.脊髓型颈椎病患者脊髓肿胀伴异常钆增强，类似髓内肿瘤：三例报告并文献复习
Asian J Neurosurg. 2010 Jul;5(2):1-9.