Hall P V, Kalsbeck J E, Wellman H N, Batnitzky S, Campbell R L, Lewis S
J Neurosurg. 1976 Aug;45(2):188-94. doi: 10.3171/jns.1976.45.2.0188.
Radioisotope ventriculography was applied clinically in myelodysplastic hydromyelia in three groups of patients: two patients with normal ventricles, two with obstructive hydrocephalus, and 16 with myelodysplasia. In the myelodysplastic group, radioassay in one patient demonstrated flow of radioistope down the hydromyelic cavity. Twenty scintigraphic studies on 16 myelodysplastic patients showed hydromyelia was present in all patients with spontaneously compensated hydrocephalus but in none of those with functional ventricular shunts. This relation between the hydromyelia and disordered ventricular hydrodynamics supports the Gardner hypothesis of myelodysplasia. Radioisotope ventriculography appears a safe and useful method of diagnosing hydrosyringomyelia and evaluating treatment by means of ventricular decompression.
两名脑室正常的患者、两名患有梗阻性脑积水的患者以及16名患有脊髓发育异常的患者。在脊髓发育异常组中，一名患者的放射性测定显示放射性同位素沿积水性脊髓空洞腔流动。对16名脊髓发育异常患者进行的20次闪烁扫描研究表明，所有自发性代偿性脑积水患者均存在积水性脊髓空洞症，而功能性脑室分流患者中无一例存在。积水性脊髓空洞症与心室流体动力学紊乱之间的这种关系支持了Gardner关于脊髓发育异常的假说。放射性核素心室造影术似乎是诊断积水性脊髓空洞症和评估通过脑室减压进行治疗的一种安全且有用的方法。
