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表现为颈髓肿瘤的蛛网膜炎:两例病例报告

Arachnoiditis presenting as a cervical cord neoplasm: two case reports.

作者信息

Bose B, Myers D L, Osterholm J L

出版信息

Neurosurgery. 1983 Jan;12(1):120-2. doi: 10.1227/00006123-198301000-00021.

DOI:10.1227/00006123-198301000-00021
PMID:6828217
Abstract

Neurological evaluation supplemented by myelography has been highly successful in diagnosing spinal cord tumors. Our experience shows that a widening of the cord on myelography is not always diagnostic of spinal cord tumors. Two patients who presented clinically with evidence of spinal cord tumor and had a widening of the cord on myelography were found to have severe cervical arachnoiditis without any evidence of intrinsic cord abnormality. Hence, cervical arachnoiditis should be considered in the differential diagnosis of spinal cord tumor on myelography.

摘要

经脊髓造影辅助的神经学评估在诊断脊髓肿瘤方面一直非常成功。我们的经验表明,脊髓造影显示脊髓增宽并不总是能诊断脊髓肿瘤。两名临床上表现出脊髓肿瘤迹象且脊髓造影显示脊髓增宽的患者,被发现患有严重的颈段蛛网膜炎,而没有任何脊髓内在异常的证据。因此,在脊髓造影诊断脊髓肿瘤的鉴别诊断中应考虑颈段蛛网膜炎。

相似文献

1
Arachnoiditis presenting as a cervical cord neoplasm: two case reports.表现为颈髓肿瘤的蛛网膜炎:两例病例报告
Neurosurgery. 1983 Jan;12(1):120-2. doi: 10.1227/00006123-198301000-00021.
2
Adhesive total block mimicking an intradural tumour on myelography.脊髓造影时酷似硬膜内肿瘤的粘连性完全梗阻。
Eur J Radiol. 1985 May;5(2):133-4.
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[Gas radionuclide myelography in assessing patency of the subarachnoid space of the spinal cord].[气体放射性核素脊髓造影在评估脊髓蛛网膜下腔通畅性中的应用]
Zh Vopr Neirokhir Im N N Burdenko. 1985 Nov-Dec(6):39-43.
4
[On the diagnosis of intraspinal diseases with RISA-myelography].[关于放射性碘标记血清白蛋白脊髓造影术对脊髓疾病的诊断]
Neurochirurgia (Stuttg). 1966 Nov;9(6):205-13. doi: 10.1055/s-0028-1095372.
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Adhesive arachnoiditis in patients with spinal block.脊髓阻滞患者的粘连性蛛网膜炎。
Neuroradiology. 1982;22(5):243-5. doi: 10.1007/BF00342071.
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The value of radionuclide myelography in the evaluation of spinal arachnoiditis.放射性核素脊髓造影在脊髓蛛网膜炎评估中的价值。
Neuroradiology. 1978;16:359-61. doi: 10.1007/BF00395303.
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Spinal arachnoiditis mimicking a spinal cord tumor: a case report and review of the literature.酷似脊髓肿瘤的脊髓蛛网膜炎:一例报告并文献复习
Surg Neurol. 1992 Mar;37(3):211-5. doi: 10.1016/0090-3019(92)90233-d.
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[Diagnosis and technics of myelography with a water-soluble contrast medium (Amipaque)].[水溶性造影剂(阿米培克)脊髓造影的诊断与技术]
Nihon Seikeigeka Gakkai Zasshi. 1982 Aug;56(8):797-810.
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The myelographic appearances of spinal cord metastases.
Br J Radiol. 1968 Aug;41(488):615-9. doi: 10.1259/0007-1285-41-488-615.
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[Extended application of Dimer-X-myelography (critical presentation of a new method of diagnosis of the spinal canal)].[二聚体-X 脊髓造影的扩展应用(一种新的椎管诊断方法的关键呈现)]
Radiol Diagn (Berl). 1976 Oct;17(5):677-93.

引用本文的文献

1
The leptomeninges as a critical organ for normal CNS development and function: First patient and public involved systematic review of arachnoiditis (chronic meningitis).软脑膜作为中枢神经系统正常发育和功能的关键器官:首例患者和公众参与的蛛网膜炎(慢性脑膜炎)的系统评价。
PLoS One. 2022 Sep 30;17(9):e0274634. doi: 10.1371/journal.pone.0274634. eCollection 2022.