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报告 11例脊髓型多发性硬化 (MS) ,占同期多发性硬化住院病人 18.6 %。其临床表现为脊髓损害的症状和体征 ,病程中有缓解与复发 ,或呈慢性进展。颈段脊髓 2例 ,胸段脊髓 9例 ,均作了磁共振扫描 (MRI) ,其特点是 :脊髓内病灶的间断分布与其长轴走行一致的椭圆形或条索状病灶 ,病灶呈偏心分布。本资料及文献报道有一些 MS患者以脊髓受损为首发部位 ,并在较长时间内表现为脊髓受损的临床病征 ,MRI的使用对早期脊髓型 MS诊断有很大价值 ,但脊髓型 MS是独立疾病 ,还是 MS病程中脊髓受损的表现之一 ,在研究中应引起重视
Eleven cases of spinal cord-type multiple sclerosis (MS) were reported, accounting for 18.6% of hospitalized patients with multiple sclerosis in the same period. The clinical manifestations of spinal cord injury symptoms and signs of the course of remission or relapse, or chronic progression. 2 cases of cervical spinal cord, 9 cases of thoracic spinal cord, were made of magnetic resonance imaging (MRI), which is characterized by: the intermittent distribution of spinal cord lesions along the long axis consistent with the oval or cord-like lesions, the lesions were eccentric distribution . This information and the literature reported that some MS patients with spinal cord injury as the first site, and for a long time showed clinical signs of spinal cord injury, the use of MRI on the diagnosis of early spinal cord MS is of great value, but the spinal cord MS Is an independent disease, or the performance of spinal cord during MS one of the symptoms of damage, should pay attention in the study