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目的提高临床医师对脊髓血管病的认识,提高对脊髓前动脉综合征(anterior spinal artery syndrome,ASAS)的诊断与治疗的重视,磁共振是早期诊断脊髓血管病的有效手段。方法对我院近1年内收治的3例脊髓前动脉综合征的临床特点和磁共振的影像学改变进行分析。结果临床特点为以急性起病,有典型的神经根痛,病变以下水平的中枢性瘫痪,分离性感觉障碍,尿便障碍等,磁共振为2/3位于腹侧的异常信号影。结论早期诊断,早期应用改善脊髓血液循环的药物及其他对症药物,其预后较为理想。
Objective To improve clinicians’ understanding of spinal vascular disease and improve the diagnosis and treatment of anterior spinal artery syndrome (ASAS). Magnetic resonance imaging is an effective method for early diagnosis of spinal vascular disease. Methods The clinical features and MRI findings of 3 cases with anterior spinal cord syndrome admitted in our hospital in the past year were analyzed. Results The clinical features were acute onset, typical radiculopathies, central paralysis below the lesion level, separation sensory dysfunction and urinary stool disorder, and 2/3 of the anomalous signals in the ventral side of the MRI. Conclusion Early diagnosis, early application of drugs to improve spinal cord blood circulation and other symptomatic drugs, the prognosis is ideal.