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脊髓空洞症中的小脑扁桃体疝:扁桃体疝与脊髓空洞及剩余脊髓尺寸之间的关系。一项MRI定量研究。

Cerebellar herniation in syringomyelia: relation between tonsillar herniation and the dimensions of the syrinx and the remaining spinal cord. A quantitative MRI study.

作者信息

Masur H, Oberwittler C, Reuther G, Heyen P

机构信息

Department of Neurology, University Hospital of Münster, Germany.

出版信息

Eur Neurol. 1995;35(3):162-7. doi: 10.1159/000117114.

DOI:10.1159/000117114
PMID:7628496
Abstract

The dimensions of the syrinx, the remaining spinal cord and the degree of cerebellar herniation were analyzed by one- and two-dimensional MRI studies in 22 patients with syringomyelia. A deep and/or broad cyst tends to be a long one. The dimensions of the syrinx and the spinal cord have an inverse relationship. The degree of cerebellar herniation is not related to the longitudinal or transverse extension of the cyst or the ratio cyst/cord or the remaining spinal cord (neither for diameters nor for cross-sectional areas). The dimensions of cysts are not significantly greater in patients with tonsillar herniation than in patients without. We conclude that cerebellar herniation is not a major prognostic factor and should not be overestimated for the development and progression of the disease.

摘要

通过对22例脊髓空洞症患者进行一维和二维MRI研究,分析了空洞、剩余脊髓的尺寸以及小脑疝的程度。深部和/或宽的囊肿往往较长。空洞和脊髓的尺寸呈反比关系。小脑疝的程度与囊肿的纵向或横向延伸、囊肿/脊髓比值或剩余脊髓(无论是直径还是横截面积)均无关。有扁桃体疝的患者囊肿尺寸并不比无扁桃体疝的患者显著更大。我们得出结论,小脑疝不是一个主要的预后因素,在疾病的发生和发展中不应被高估。

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