磁共振成像中钆-二乙三胺五乙酸增强的脊髓及其神经根急性感染性疾病。

Acute infectious disorders of the spinal cord and its roots with gadolinium-DTPA enhancement in magnetic resonance imaging.

作者信息

Engelter S, Lyrer P, Radu E W, Steck A J

机构信息

Department of Neurology, University Hospital, Basle, Switzerland.

出版信息

J Neurol. 1996 Feb;243(2):191-5. doi: 10.1007/BF02444013.

DOI:10.1007/BF02444013

PMID:8750559

Abstract

We studied three patients with myelomeningoradiculitis caused by Borrelia burgdorferi, herpes zoster virus or cytomegalovirus infection. All patients underwent MRI of the spinal cord with gadolinium-DTPA and showed enhancing lesions of the spinal cord or nerve roots that correlated with clinical signs. Gadolinium-DTPA enhancement may visualize lesions that suggest an inflammation associated with blood-brain-barrier alteration and indicate the diagnosis before serological results are available.

摘要

我们研究了3例由伯氏疏螺旋体、带状疱疹病毒或巨细胞病毒感染引起的脊髓脊膜神经根炎患者。所有患者均接受了钆喷酸葡胺增强的脊髓MRI检查，结果显示脊髓或神经根有强化病变，且与临床体征相关。钆喷酸葡胺增强检查可使提示与血脑屏障改变相关炎症的病变显影，并在血清学结果出来之前做出诊断。