脊髓前动脉区域急性颈髓梗死伴急性肿胀样脊髓炎。

Hussam Abou Al-Shaar, Iyad AbouAl-Shaar, Mohammed Z Al-Kawi
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引用次数: 8

摘要

脊髓颈段的急性梗塞是极为罕见的。患者可能出现类似急性脊髓炎的体征和症状。影像学上,这两种情况在T-2加权MRI上均表现为高信号区。突然发作的病史是确定诊断的必要条件。我们报告一例40岁男性颈脊髓梗死,他被诊断为急性横断面脊髓炎,并接受大剂量静脉注射皮质类固醇和5次血浆置换治疗。脊柱MRI显示异常高T2信号强度,从C2延伸至C7,累及脊髓前三分之二,主要累及中央。结果与脊髓前动脉区颈髓梗死一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Acute cervical cord infarction in anterior spinal artery territory with acute swelling mimicking myelitis.

Acute cervical cord infarction in anterior spinal artery territory with acute swelling mimicking myelitis.

Acute cervical cord infarction in anterior spinal artery territory with acute swelling mimicking myelitis.

Acute cervical cord infarction in anterior spinal artery territory with acute swelling mimicking myelitis.

Acute infarction of the cervical segment of the spinal cord is extremely uncommon. Patients may present with signs and symptoms mimicking that of acute myelitis. On imaging, both conditions may present as a hyperintense area on T-2 weighted MRI. History of sudden onset is essential in establishing the diagnosis. We report a case of cervical spinal cord infarction in a 40-year-old man who was diagnosed with acute transverse myelitis, and was treated with high dose intravenous corticosteroids followed by 5 sessions of plasma exchange. An MRI of the spine revealed abnormal high T2 signal intensity extending from the C2 to C7 level involving the anterior two-thirds of the cord with more central involvement. The findings were consistent with anterior spinal artery territory cervical cord infarction.

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