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作者回顾性分析16例脊髓内类肉瘤病(ISS)的MRI 和临床特点。16例中男9例,女7例,平均35岁(19~54岁)。全身类肉瘤病12例,仅CNS 受累2例,另2例中的1例脊髓活检异常,有全身受累但未被诊断为全身类肉瘤病。颅内受累5例,有5例初始症状表现为神经根神经痛。脊髓最常见累及部位在颈髓(9例)。CSF 蛋白呈轻~中度升高,细胞数轻度增高。全部病人至少行一次脊髓MRI,结果发现:弥漫性脊髓增大7例,脊髓萎缩4例,T_2加权
The authors retrospectively analyzed the MRI and clinical features of 16 patients with spinal sarcoidosis (ISS). Among the 16 cases, 9 were males and 7 were females, with an average age of 35 (19-54 years). There were 12 cases of systemic sarcoidosis, 2 cases of CNS only involvement, and 1 case of spinal cord biopsy abnormality in the other 2 cases, which had systemic involvement but not been diagnosed as systemic sarcoidosis. Intracranial involvement in 5 cases, 5 cases of initial symptoms of nerve root neuralgia. The most common site of spinal involvement in the cervical cord (9 cases). CSF protein was mild to moderate increase in cell number slightly increased. All patients underwent spinal cord MRI at least once, and found that: diffuse spinal cord enlargement in 7 cases, spinal cord atrophy in 4 cases, T 2 -weighted