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目的总结合并脊髓空洞的视神经脊髓炎谱系疾病(neuromyelitis optica spectrum disorders,NMOSD)的特点。方法针对1例收住我院且确诊为NMOSD的患者进行多次病灶部位影像学检查,同时复习相关文献。结果该例患者颈髓病灶内可见以中央管为中心的、分隔的、形态不规则但边界相对清楚的空洞形成,空洞随患者病情缓解逐渐缩小。结论 NMOSD可合并脊髓空洞形成,空洞形态多不规则,周围存在炎性病变且可有斑片状强化,与炎性脱髓鞘病灶存在时间和空间的相关性,在急性期出现,缓解期可自行缩小或消失。
Objective To summarize the characteristics of neuromyelitis optica spectrum disorders (NMOSD) with syringomyelia. Methods One case of patients admitted to our hospital who were diagnosed as NMOSD underwent multiple imaging examinations of the lesion site and reviewed the relevant literature. Results In this case, there were isolated, irregularly shaped and relatively well-defined cavities centered around the central canal in the cervical spinal cord lesion. The cavitation gradually decreased as the patient’s condition was relieved. Conclusion NMOSD can be associated with the formation of syringomyelia, irregular cavity shape, inflammatory lesions around and may have patchy enhancement, and inflammatory demyelinating lesions exist in time and space, in the acute phase, the remission may be Reduce or disappear by yourself.