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多系统萎缩的小脑型:一例报告。

Cerebellar form of multiple system atrophy: A case report.

作者信息

Hamid Mohamed, Slimani Sara, Alloussi Houda, Bourazza Ahmad

机构信息

Department of Neurology, Mohammed V Military Instruction Hospital, Rabat 10000, Morocco.

出版信息

Radiol Case Rep. 2024 Jun 17;19(9):3724-3728. doi: 10.1016/j.radcr.2024.05.044. eCollection 2024 Sep.

DOI:10.1016/j.radcr.2024.05.044
PMID:38983301
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11231506/
Abstract

Multiple system atrophy is a form of synucleinopathy with an unknown etiology that causes progressive neurodegeneration. It may affect the cerebellum, autonomic nerves, and pyramidal and extrapyramidal systems. We present the case of a 51-year-old man who was hospitalized for recurrent balance problems and dizziness. Cranial magnetic resonance imaging showed the "hot cross bun" sign of the pons with major atrophy of the cerebellum. The cerebellar form of probable multiple system atrophy was the final diagnosis.

摘要

多系统萎缩是一种病因不明的突触核蛋白病,可导致进行性神经变性。它可能影响小脑、自主神经以及锥体和锥体外系。我们报告一例51岁男性患者,因反复出现平衡问题和头晕而住院。头颅磁共振成像显示脑桥的“热十字面包”征以及小脑严重萎缩。最终诊断为可能的小脑型多系统萎缩。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dde5/11231506/07ab133884c0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dde5/11231506/cd85a2c457d1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dde5/11231506/3502c02e035c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dde5/11231506/3ec12a2f1f8d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dde5/11231506/07ab133884c0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dde5/11231506/cd85a2c457d1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dde5/11231506/3502c02e035c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dde5/11231506/3ec12a2f1f8d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dde5/11231506/07ab133884c0/gr4.jpg

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本文引用的文献

1
Multiple system atrophy in Hokkaido, Japan: a prospective registry study of natural history and symptom assessment scales followed for 5 years.日本北海道的多系统萎缩:一项对自然史和症状评估量表进行5年随访的前瞻性登记研究。
BMJ Open. 2021 Feb 8;11(2):e045100. doi: 10.1136/bmjopen-2020-045100.
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Clinics in diagnostic imaging (191). Multiple system atrophy-cerebellar type (MSA-C).诊断影像学临床(191)。多系统萎缩-小脑型(MSA-C)。
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Recommendations of the Global Multiple System Atrophy Research Roadmap Meeting.
全球多系统萎缩研究路线图会议的建议。
Neurology. 2018 Jan 9;90(2):74-82. doi: 10.1212/WNL.0000000000004798. Epub 2017 Dec 13.
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Significance of the hot-cross bun sign on T2*-weighted MRI for the diagnosis of multiple system atrophy.T2*-加权 MRI 上十字面包征对多系统萎缩诊断的意义。
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Imaging spectrum of cerebellar pathologies: a pictorial essay.小脑病变的影像学谱:一篇图文并茂的文章。
Pol J Radiol. 2015 Mar 16;80:142-50. doi: 10.12659/PJR.892878. eCollection 2015.
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[Susceptibility gene in multiple system atrophy (MSA)].多系统萎缩(MSA)中的易感基因
Rinsho Shinkeigaku. 2014;54(12):969-71. doi: 10.5692/clinicalneurol.54.969.
8
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Lancet Neurol. 2013 Mar;12(3):264-74. doi: 10.1016/S1474-4422(12)70327-7. Epub 2013 Feb 5.
9
Presentation, diagnosis, and management of multiple system atrophy in Europe: final analysis of the European multiple system atrophy registry.欧洲多系统萎缩的表现、诊断和治疗:欧洲多系统萎缩注册研究的最终分析。
Mov Disord. 2010 Nov 15;25(15):2604-12. doi: 10.1002/mds.23192.
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Proposed neuroimaging criteria for the diagnosis of multiple system atrophy.用于诊断多系统萎缩的拟议神经影像学标准。
Mov Disord. 2009 May 15;24(7):949-64. doi: 10.1002/mds.22413.