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亚急性联合变性颈髓的MRI表现
引用本文:郑奎宏,马林,郭勇,林伟,黄敏华,陶丽冰,赵书臣.亚急性联合变性颈髓的MRI表现[J].中国临床医学影像杂志,2006,17(7):394-396.
作者姓名:郑奎宏  马林  郭勇  林伟  黄敏华  陶丽冰  赵书臣
作者单位:1. 海军总医院放射科,北京,100037
2. 解放军总医院放射科,北京,100853
摘    要:目的:分析亚急性联合变性颈髓的MRI表现特点,提高对该病的认识。方法:收集临床确诊亚急性联合变性累及颈髓的患者5例,回顾性分析其MRI表现,并复习相关临床及文献资料。结果:5例患者MRI均显示颈髓不同程度范围的后?蛐和侧索长T2信号,其颈髓正中矢状位T2加权图像均呈连续束带状异常信号;4例行Gd-DTPA增强扫描,其中2例可见条片状强化。结论:亚急性联合变性的颈髓矢状位束带状改变有比较典型的特点,MRI是诊断该病的重要手段。

关 键 词:脊髓疾病  颈椎  磁共振成像
文章编号:1008-1062(2006)07-0394-03
收稿时间:2006-3-21
修稿时间:2006年3月21日

MRI findings of subacute combined degeneration of the cervical spinal cord
ZHENG Kui-hong,MA Lin,GUO Yong,LIN Wei,HUANG Min-hua,TAO Li-bing,ZHAO Shu-chen.MRI findings of subacute combined degeneration of the cervical spinal cord[J].Journal of China Clinic Medical Imaging,2006,17(7):394-396.
Authors:ZHENG Kui-hong  MA Lin  GUO Yong  LIN Wei  HUANG Min-hua  TAO Li-bing  ZHAO Shu-chen
Abstract:Objective:To analyse the MR manifestations of subacute combined degeneration of the cervical spinal cord(SCD),and to improve the understanding of SCD.Methods:The findings of MRI were analyzed retrospectively in 5 patients with clinically confirmed SCD.The clinical symptoms were also analyzed.Results:All five cases demonstrated high signal intensity on T2WI in the posterior and/or lateral column of the cervical spinal cord,and ribbon-like high signal intensity along dorsal aspect of the cervical spinal cord on sagittal T2WI.Patchy enhancement were noted in 2 cases.Conclusion:The characteristic appearance of SCD in cervical spinal cord on MRI is very helpful in diagnosis.
Keywords:spinal cord diseases  cervical vertebrae  magnetic resonance imaging
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