- 期刊
The Correlation of Clinical Course and Magnetic Resonance Image Findings of Radiation Myelopathy:A Case Report
放射治療後脊髓病變臨床病程與核磁共振影像之相關：病例報告
摘要
本報告提出一位放射治療後脊髓病變的病例。在追蹤三年中，對於臨床症狀及治療反應，與核磁共振的影像之間的相關加以討論。同時對於此類病患所須的特別復健考量加以討論 結果顯示核磁共振出現脊髓腫大及出現不正常顯影劑顯影，和臨床症狀快速惡化有明顯相關，在此時期若給予抗凝血劑及類固醇治療可以觀察到某些神經學上的進步。當追蹤的核磁共振下出現脊髓萎縮，同時不正常顯影消失，此時期仍有緩慢的神經學惡化，並且對於治療幾乎沒有反應。我們認為核磁共振對於放射治療後脊髓病變是一個極有用的診斷工具，並且可用來預測治療的反應。
關鍵字
放射治療併發症,核磁共振,脊髓並列摘要
We described a case of radiation myelopathy (RM). The correlations of evolutional changes in magnetic resonance image (MRI) findings in three years with clinical symptoms and treatment responses in different stages of the disease were discussed. We also describe some special rehabilitative consideration for RM patients. Cord enlargement with contrast-enhancement showed in MRI findings corresponding to rapid neurological deterioration. Some neurological improvement after anti-coagulation and I steroid therapy was observed in this stage. Cord atrophy without contrast-enhancement was showed in following MRI. The neurological deficits still progressed slowly in this stage and almost did not response to the treatment. We conclude that MRI is a powerful diagnostic tool for RM and may predict the treatment responses.
延伸閱讀
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- 盧俊吉（2019）。運用核磁共振成像檢測幫助僵直性脊椎炎及早診斷。健康世界，(505)，55-56。https://www.airitilibrary.com/Article/Detail?DocID=16077059-201901-201902120009-201902120009-55-56