Lipper M H, Goldstein J H, Do H M
Department of Radiology, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
AJNR Am J Neuroradiol. 1998 Aug;19(7):1349-52.
We report a case of increased signal in the left hemicord at the C4 level on T2-weighted MR images after chiropractic manipulation, consistent with contusion. The patient displayed clinical features of Brown-Séquard syndrome, which stabilized with immobilization and steroids. Follow-up imaging showed decreased cord swelling with persistent increased signal. After physical therapy, the patient regained strength on the left side, with residual decreased sensation to pain involving the right arm.
我们报告一例整脊推拿后T2加权磁共振成像显示C4水平左侧脊髓半侧信号增强的病例,符合脊髓挫伤表现。患者表现出布朗-塞卡尔综合征的临床特征,经固定和使用类固醇后病情稳定。随访成像显示脊髓肿胀减轻,但信号仍持续增强。经过物理治疗,患者左侧恢复了力量,右臂仍残留疼痛感觉减退。