CAJ | 학술논문

目的探讨儿童急性横贯性脊髓炎的临床、磁共振成像特点及两者间的关系.方法对10例诊断为儿童急性横贯性脊髓炎的患儿进行临床、MRI的回顾性分析.结果 6例有感染史,均有双下肢或四肢瘫痪,大多数有浅感觉及括约肌功能障碍;MRI中T2加权扫描均可见高信号,病灶边缘不清,脊髓增粗仅4例,程度轻,脊髓受损范围及有否增粗与预后未发现有明显关系(P0.05).结论本病的临床特点是感觉障碍轻,恢复快,MRI为诊断本病敏感、可靠、特异性较好的非创伤性检查,预后与脊髓受损程度无明显关系.
목적 탐토인동급성횡관성척수염적림상、자공진성상특점급량자간적관계.방법 대10례진단위인동급성횡관성척수염적환인진행림상、MRI적회고성분석.결과 6례유감염사,균유쌍하지혹사지탄탄,대다수유천감각급괄약기공능장애;MRI중T2가권소묘균가견고신호,병조변연불청,척수증조부4례,정도경,척수수손범위급유부증조여예후미발현유명현관계(P0.05).결론 본병적림상특점시감각장애경,회복쾌,MRI위진단본병민감、가고、특이성교호적비창상성검사,예후여척수수손정도무명현관계.
Objective To explore the clinical, MRI features and relation of them in children with transverse myelitis. Methods We analyse retrospectively the clinical and MRI features of 10 patients with transverse myelitis. Results 6 patients with prodromal period had lower limbs and quadriplegia. Most of them had dysfunction of superficial sense and sphincter, and the former was light and recovered quickly. The T2WI in all 10 patients shows high intensity, with blurry border. Only 4 patients of them had light augmentation on spinal cord. We found no relationship of the traumatic range or augmentation of spinal cord and the prognosis (P0.05). Conclusion In children with transverse myelitis, the T2WI is the most sensitive, credible and differential non-traumatic examinational procedure. It seems that children patients have different features compared to adults. For children patients, they have slight sensory disturbance and recover quickly. Not all patients show augmentation on spinal cord. It may has the South North regional difference.