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脊髓型多发性硬化临床诊断分析
引用本文:邓燕,王平,张其林. 脊髓型多发性硬化临床诊断分析[J]. 中国实用神经疾病杂志, 2009, 12(1)
作者姓名:邓燕  王平  张其林
作者单位:攀枝花学院附属医院神经科,攀技花,617000;四川攀枝花市中心医院磁共振室,攀枝花,617000
摘    要:目的 总结分析脊髓型多发性硬化(MS)的临床特点和MRI表现.方法 回顾性分析21例脊髓型MS的临床特点和MRI表现,所有患者行脊髓和颅脑MRI检查.结果 脊髓型MS除有脊髓病变的临床表现外,临床症状和体征的多样性是其特点,如感觉障碍、肢体无力、视力障碍等;脊髓内病灶的MRI特点是不规则斑片状和条带状异常信号,位于脊髓两侧和后部,在T:WI像上为高或稍高信号,在T1WI上为等信号或稍低信号;80.9%(17/21)脊髓型MS合并脑内病灶.结论 脊髓型MS临床表现呈多样性,MRI可以准确显示脊髓内病灶,颅脑MRI检查有助于脊髓型MS的诊断.

关 键 词:脊髓  多发性硬化  磁共振成像

Clinical analysis of spinal cord multiple sclerosis
Deng Yan,Wang Ping,Zhang Qilin. Clinical analysis of spinal cord multiple sclerosis[J]. Chinese Journal of Practical Neruous Diseases, 2009, 12(1)
Authors:Deng Yan  Wang Ping  Zhang Qilin
Affiliation:Deng Yan,Wang Ping,Zhang Qilin.Department of Neurology,Panzhihua Hospital of Integrated Chinese , Western Medicine,Panzhihua 617000,China
Abstract:Objective To study the clinical features and MRI appearances of the spinal cord multiple sclerosis(MS).Methods The clinical presentations and MRI findings of 21 patients with definite spinal cord MS to McDonald's criteria were analyzed retrospectively.Spinal cord and brain MRI were performed for all of them.Results In addition to having the clinical signs of the spinal cord lesions,the spinal cord MS had varied and inconstant clinical presentations,such as limbs weakness,abnormal sense,dysfunction of eyesig...
Keywords:Spinal cord  Multiple sclerosis  Magnetic resonance imaging  
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