儿童急性横贯性脊髓炎临床与磁共振成像  

Clinical and MRI findings in children with transverse myelitis

作　　者：黄奕辉[1] 林浩铨[1] 林明祥[1] 

机构地区：[1]汕头市中心医院儿科,广东省汕头515031

出　　处：《中国基层医药》2008年第5期785-786,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：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（P〉0．05）。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。Objective To explore the clinieal,MRl 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 super- ficial 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 relation- ship of the traumatic range or augmentation of spinal cord and the prognosis（P 〉 0.05）. Conclusion In children with transverse myelitis, the T2WI is the most sensltive,credible and differential non-traumatic examinational proce- dure. 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.

关 键 词：脊髓炎 磁共振成像 儿童 

分 类 号：R74[医药卫生—神经病学与精神病学] R44[医药卫生—临床医学]