Kokmen E, Marsh W R, Baker H L
Neurosurgery. 1985 Aug;17(2):267-70. doi: 10.1227/00006123-198508000-00003.
Myelography and myelography assisted with computed tomography have been the most commonly used radiographic methods in the study of syringomyelia. These studies have never been entirely reliable in demonstrating the syrinx cavity and its relationship to other intracranial structures. During the 1st year of operation of the magnetic resonance imaging facility, the syringomyelic cavity was demonstrated in 15 patients who all had typical clinical signs and symptoms associated with syringomyelia. Nine cases were syringomyelia with Chiari malformation. One case showed additional hydrocephalus. Four cases were idiopathic, and 1 case was remotely posttraumatic. Magnetic resonance imaging, although it is in its infancy, already promises to be the most important radiographic technique for syringomyelia because it provides an anatomically truthful visualization of the sagittal plane of the cervical cord and can demonstrate the syrinx cavity and its relationship with the cerebellar tonsils, the 4th ventricle, and other related structures.
脊髓造影以及计算机断层扫描辅助脊髓造影一直是研究脊髓空洞症最常用的放射学方法。这些研究在显示空洞腔及其与其他颅内结构的关系方面从未完全可靠过。在磁共振成像设备投入使用的第一年，15例具有典型脊髓空洞症临床体征和症状的患者显示出脊髓空洞腔。9例为合并Chiari畸形的脊髓空洞症。1例还伴有脑积水。4例为特发性，1例为陈旧性创伤后。磁共振成像尽管尚处于起步阶段，但已有望成为脊髓空洞症最重要的放射学技术，因为它能提供颈髓矢状面的真实解剖图像，并能显示空洞腔及其与小脑扁桃体、第四脑室和其他相关结构的关系。
