摘要
目的 观察亚急性联合变性 (SCD)患者的磁共振和电生理表现及治疗前后的变化 ,评价其对诊断的价值。方法 对 10例患者进行治疗前后的神经功能评定 ,并进行 3～ 36个月随访 ,检查脊髓MRI、体感诱发电位(SEP)等 ,并观察其治疗前后的变化。结果 因部分病人确诊前应用VitB12 ,有时VitB12 浓度无法作为诊断依据 ,脊髓MRI、神经电生理检查能敏感地显示病灶部位。结论 脊髓MRI、神经电生理检查能客观地提示病变部位及治疗前后的变化 。
Objective To observe the presentations and changes of Electrophysiology (EP) and magnetic resonance image (MRI) before and after treatments in the patients with subacute combined degeneration (SCD).To analyze their values on diagnosis. Methods All the 10 patients took the examinations,including clinical neurological functions,VitaminB 12 in serum,spinal cord MRI,sensory evoked potential (SEP),et al.They were followed up for 3 to 36 months.The changes of spinal cord MRI and SEP before and after the treatments were studied. Results Sometimes,serum VitB 12 level could not help to diagnosis if it had been used.The lesions could be show sensitively by spinal cord MRI and EP. Conclusion The detections of spinal cord MRI and EP could show the lesions and their changes before and after the treatments objectively,and are important in the diagnosis of SCD. [
出处
《中国医学影像技术》
CSCD
北大核心
2000年第11期955-957,共3页
Chinese Journal of Medical Imaging Technology
关键词
亚急性联合变性
维生素B12缺乏
电生理
成像
NMR
Subacute combined degeneration
VitaminB 12 deficiency
Neurological electrophysiology
Magnetic resonance image
