Bose B, Myers D L, Osterholm J L
Neurosurgery. 1983 Jan;12(1):120-2. doi: 10.1227/00006123-198301000-00021.
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.
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。