平山病自然位和屈颈位典型MR表现.pdfVIP

磁共振成像 2012年第3卷第2期　Chin J Magn Reson Imaging, 2012, Vol 3, No 2 临床研究 | Clinical Articles 平山病自然位和屈颈位典型MR表现 * 马巧稚, 马　毅，董玉茹，王 宏 作者单位： [摘要]　目的　对平山病的磁共振特点进行总结，并结合文献复习，提高对本 武警总医院磁共振科，北京　100039 病的认识。方法　对5例经临床证实的平山病患者进行颈椎自然位和屈颈位扫描 并观察其MRI表现。结果　自然位见下颈段(颈4～7椎体水平)脊髓变细，屈颈位 通讯作者： 见下颈段(1例及上中胸段，余4例仅累及下颈段)脊髓的硬脊膜后壁向前推移，脊 王宏，E-mail: wanghongMRI@ 髓背侧硬膜外静脉丛扩张，颈胸段脊髓局限受压变扁。结论　结合自然位和屈 颈位的MRI检查,有助于平山病的诊断。 收稿日期：2011-11-30 [关键词]　平山病；磁共振成像；自然位；屈颈位 接受日期：2012-02-04 The Hirayama disease’s MRI features under the 中图分类号：R445.2　 conventional position and flexion position 文献标识码：A DOI: 10.3969/j.issn.1674-8034.2012.02.010 * MA Qiao-zhi, MA Yi, DONG Yu-ru, WANG Hong Department of MR Imaging, Armed Police General Hospital, Beijing 100039, China 马巧稚, 马毅, 董玉茹, 等. 平山病自然 * Correspondence to: Wang Hong, E-mail: wanghongMRI@ 位和屈颈位典型MR表现. 磁共振成像, Received 30 Nov 2011; Accepted 4 Feb 2012 2012, 3(1): 141-143. Abstract Objective: To understand MRI characteristics of hirayama disease’s (HD). Materials and Methods: Five patients with HD were scanned by MR on the conventional and the flexion position. The findings were analyzed. Results: On the conventional position, 5 cases presented slight atrophy of lower cervical cord, 1 case showed upper thoracic cord involvement. On the flexion position, the lower cervical cords