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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >P.059 Brachial plexus enhancement in acute flaccid myelitis: A novel radiographic finding
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P.059 Brachial plexus enhancement in acute flaccid myelitis: A novel radiographic finding

机译：P.059急性松弛骨髓炎中的肱壁丛增强：一种小说射线照相发现

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摘要

Background: Acute flaccid myelitis (AFM) is a condition which causes acute paralysis in pediatric patients. Although awareness of AFM is increasing, the pathophysiology and full spectrum of clinical, biochemical, and radiographic features remain to be fully elucidated. Methods: We report a 5 year-old, previously healthy, male patient who presented with acute right upper extremity weakness following a two day history of fever, cough, and fatigue. The patient underwent extensive inflammatory and infectious workup in addition to MRI imaging of the brain, spinal cord, and bilateral brachial plexuses. Results: Infectious and inflammatory workup did not identify a causative agent. The patient was seen to have bilateral asymmetric (R>L) thickening and enhancement of the anterior horn cells of his cervical (C3-C7) spine, consistent with the spinal grey matter lesions previously described in patients with AFM. Enhancement of the corresponding anterior nerve rootlets and bilateral brachial plexuses was also seen. Conclusions: Patients with acute flaccid myelitis may demonstrate grey matter enhancement extending beyond the spinal cord to the peripheral nerves and plexuses, a radiographic finding which has not previously been published.
机译：背景：急性弛缓性骨髓炎（AFM）是一种导致小儿患者急性瘫痪的病症。尽管对AFM的认识正在增加，但临床，生化和放射线特征的病理生理学和全谱仍然被完全阐明。方法：我们报告了一名5岁，以前健康，男性患者，患有两天发烧，咳嗽和疲劳史上的急性右上肢弱点。除了脑，脊髓和双侧臂丛神经的MRI成像外，患者还接受了广泛的炎症和传染性余处。结果：传染性和炎症性疗法未识别造成代理人。患者被视为双侧不对称（R> L）增稠和增强他的宫颈（C3-C7）脊柱的前喇叭细胞，与先前在AFM患者中先前描述的脊柱灰质病变一致。还可以看到相应的前神经根部和双侧臂丛的增强。结论：急性弛缓性脊髓炎的患者可以证明灰质增强延伸到外周神经和神经丛的脊髓，这是未以前公布的射线摄影结果。

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