NRR:如何鉴别脊髓炎性脱髓鞘假瘤?

2013-11-06 伊文 eurekalert中文版

脊髓炎性脱髓鞘假瘤的影像学表现与髓内肿瘤例如胶质瘤等十分相似,临床上常被误诊为髓内肿瘤。烟台山医院神经内科王英等所在课题组进行的一项关于“Imaging and clinical properties of inflammatory demyelinating pseudotumor in the spinal cord”的研究,对脊髓瘤样炎性脱髓鞘病例的临床表现、实验室检查、磁共振表现以及治疗随

脊髓炎性脱髓鞘假瘤的影像学表现与髓内肿瘤例如胶质瘤等十分相似,临床上常被误诊为髓内肿瘤。烟台山医院神经内科王英等所在课题组进行的一项关于“Imaging and clinical properties of inflammatory demyelinating pseudotumor in the spinal cord”的研究,对脊髓瘤样炎性脱髓鞘病例的临床表现、实验室检查、磁共振表现以及治疗随访结果等进行全面的回顾性分析总结,鉴别其与髓内肿瘤的不同点。【原文下载】

结果发现脊髓瘤样炎性脱髓鞘病是一种较为特殊的脱髓鞘病,属于炎性假瘤,单发病灶易与髓内肿瘤混淆,核磁共振显示的斑片状或非闭合性强化为其重要特征,病理检查提示为病变部位炎性细胞浸润及髓鞘脱失,经激素治疗有效。


作者认为,文章结果对提高脊髓炎性脱髓鞘假瘤的临床诊断正确率有借鉴意义。文章发表在《中国神经再生研究(英文版)》2013年9月第26期杂志上。

原文出处:

Wang Y, Wang M, Liang H, Yu QT, Yan ZH, Kong M. Imaging and clinical properties of inflammatory demyelinating pseudotumor in the spinal cord. Neural Regen Res. 2013;8(26):2484-2494.【原文下载】


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