Gupta Viraj, Nimodia Devyansh, Mishra Gaurav, Patil Ravishankar, Parihar Pratapsingh H, Dudhe Sakshi, Jajoo Umang
Department of Radio-Diagnosis, Jawaharlal Nehru Medical College Wardha, Datta Meghe Institute of Higher Education and Research (DU), Wardha, India 442001.
Department of Radiodiagnosis, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India 442001.
Radiol Case Rep. 2025 Mar 20;20(6):2845-2849. doi: 10.1016/j.radcr.2025.02.059. eCollection 2025 Jun.
Rare vascular abnormalities of the central nervous system, spinal intramedullary cavernomas make up fewer than 5% of all spinal cord lesions. Symptoms are vague, making diagnosis difficult. A fast and precise diagnosis is made possible by the early detection and characterization of these lesions, which is made possible by radiological imaging, especially MRI with contrast. A 45-year-old man who had intermittent neck discomfort and developed upper limb weakness also had motor and sensory difficulty. Diagnosis of a spinal canal intramedullary cavernoma was confirmed by an magnetic resonance imaging (MRI) showing a distinct intramedullary lesion. This case report focuses on managerial factors and diagnostic problems.
中枢神经系统罕见的血管异常，脊髓髓内海绵状血管瘤占所有脊髓病变的比例不到5%。症状不明确，诊断困难。通过对这些病变的早期检测和特征描述可以实现快速准确的诊断，而这通过放射影像学检查，尤其是增强磁共振成像（MRI）得以实现。一名45岁男性，有间歇性颈部不适并出现上肢无力，同时伴有运动和感觉障碍。磁共振成像（MRI）显示脊髓内有明显病变，确诊为椎管内髓内海绵状血管瘤。本病例报告重点关注管理因素和诊断问题。
