Magnetic resonance imaging of spinal cord in acute transverse myelitis,neuromyelitis optica and multiple sclerosis

TANG Hua-min; et al

doi:10.13406/j.cnki.cyxb.2010.08.007

您当前的位置：

首页 >

文章列表页 >

Magnetic resonance imaging of spinal cord in acute transverse myelitis,neuromyelitis optica and multiple sclerosis

更新时间：2024-01-17

- Magnetic resonance imaging of spinal cord in acute transverse myelitis,neuromyelitis optica and multiple sclerosis
- Journal of Chongqing Medical University Vol. 35, Issue 8, Pages: 1258-1261(2010)
- 作者机构：
  
  重庆医科大学附属第一医院放射科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.08.007
  CLC： R445.2
- Published：2010，
扫描看全文
[1]汤化民,罗天友,李咏梅,吕发金,曾春.视神经脊髓炎、多发性硬化患者脊髓改变的磁共振表现及鉴别诊断[J].重庆医科大学学报,2010,35(08):1258-1261.

TANG Hua-min, et al. Magnetic resonance imaging of spinal cord in acute transverse myelitis,neuromyelitis optica and multiple sclerosis. [J]. Journal of Chongqing Medical University 35(8):1258-1261(2010)
[1]汤化民,罗天友,李咏梅,吕发金,曾春.视神经脊髓炎、多发性硬化患者脊髓改变的磁共振表现及鉴别诊断[J].重庆医科大学学报,2010,35(08):1258-1261. DOI： 10.13406/j.cnki.cyxb.2010.08.007.

TANG Hua-min, et al. Magnetic resonance imaging of spinal cord in acute transverse myelitis,neuromyelitis optica and multiple sclerosis. [J]. Journal of Chongqing Medical University 35(8):1258-1261(2010) DOI： 10.13406/j.cnki.cyxb.2010.08.007.

摘要

目的:探讨视神经脊髓炎（Neuromyelitis optica

NMO）及多发性硬化（Multiple sclerosis

MS）患者脊髓改变以及相关临床资料的差异

为鉴别诊断两种疾病提供一定的依据。方法:利用GESigna1.5T磁共振成像系统

对2004年7月到2008年9月我院临床确诊或疑似NMO及MS的患者做免费MRI检查。根据影像资料、脑脊液（Cerebrospinal fluid

CSF）及神经诱发电位（Visual evoked potential

VEP）检查结果

将满足Wingerchuk等推荐的NMO诊断标准及MS的最新McDonald诊断标准的患者纳入研究对象。结果:确诊NMO患者41例

MS患者121例。脊髓受累:NMO患者以受累节段≥5个（78.1%）最为常见

其中以颈髓、颈胸髓联合受累最多

占患者总数的80.5%。病灶均为连续性改变

急性期脊髓肿胀明显

多为灰质及白质同是受损;MS患者以胸髓受累最为常见（46.4%）

41例（59.4%）受累脊髓节段≥3个

但为非连续损害

表现为渐进性过程

以白质受累为主。经统计学检验

两组之间受累脊髓节段数有统计学差异（P<0.001）。结论:NMO与MS患者脊髓表现具有一定的差异

可以成为两者的鉴别点。

Abstract

Objective:To investigate the magnetic resonance imaging(MRI) findings of spinal cord between neuromyelitis optica(NMO)

and multiple sclerosis(MS).Methods:Subjects who were diagnosed or suspected as NMO or MS in the hospital since 2004 underwent free MRI(1.5T)scanning and imaging analysis of the brain

spinal cord and eye free.with reference to magnetic records

the results of cerebrospinal fluid(CSF)and visual evoked potential(VEP)

patients who fulfilled the diagnostic criteria for the latest diagnostic criteria for NMO or McDonald Criteria for MS were enrolled and the follow-up study were carried out.Results:41 patients with NMO and 121patients with MS were included in this study.As to spinal cord injury

In NMO

most patients’number of affected segments was more than 5(78.1%)

and most of the patients suffered either cervical spinal cord injury or cervical-thoracic spinal cord joint injury(80.5%).The lesions changed continually

and the spinal cord swelled obviously in acute phase

with white and gray matter of spinal cord injured simultaneously.For most MS patients

the thoracic spinal injury was frequent(46.6%).There were 41 patients(59.4%)whose affected segments were more than 3

but the affection was discontinuous and progressive

and the majority was white matter injury.There was statistical difference in the affected segments between the two groups(P<0.001)and NMO had the longest affected segments.Conclusion:The spinal cord injuries in NMO and MS were different to a certain degree

so MRI was possible to distinguish NMOfromMS.

关键词

视神经脊髓炎多发性硬化磁共振成像急性脊髓炎

Keywords

neuromyelitis opticamultiple sclerosismagnetic resonance imagingAcute transverse myelitis

references

Views

491

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Exploring gray matter lesions in multiple sclerosis:a review on resting-state fMRI

Studies of diffusion-weighted imaging in lesions and normal-appearing white matter areas of multiple sclerosis

Potential predictor of MRI peritumoral features in prognosis for colorectal liver metastases after non-anatomical hepatectomy

Diagnosis of Alzheimer's disease based on whole-brain radiomics

Role and research progress of microglia in multiple sclerosis /experimental autoimmune encephalomyelitis

Related Author

Liu Yi

Li Yongmei

ZENG Chun

et al

罗天友

吕发金

欧阳羽

陈璇

Related Institution

Department of Radiology,The First Affiliated Hospital of Chongqing Medical University

Teaching and Research Section of Pathology，College of Basic Medical Sciences，Chongqing Medical University

Department of Radiology

Institute of Precision Medicine, GE Healthcare

Department of Radiology, The Second Affiliated Hospital of Chongqing Medical University

⁰