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Multiple sclerosis in the spinal cord: MR appearance and correlation with clinical parameters.

机译:脊髓多发性硬化症:MR表现及其与临床参数的相关性。

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PURPOSE: To determine the characteristic magnetic resonance (MR) imaging features of multiple sclerosis (MS) that affect the spinal cord. MATERIALS AND METHODS: Sixty-eight patients underwent MR imaging of the cervical and/or thoracic spine. Plaques were analyzed for lesion length, cross-sectional area and location, signal intensity, and morphology. The clinical parameters of MS type, duration of disease, sex, and age were also correlated with these MR imaging findings. RESULTS: One hundred twenty-four demyelinating plaques were found in these 68 patients; 38 had more than one plaque. The majority of plaques were two body segments in length or less and peripherally located, and occupied less than 50% of the cross-sectional area of the cord. Plaques associated with cord atrophy were more likely to occur with the relapsing-progressive form of MS. Cord swelling was found only in the relapsing-remitting form of MS. CONCLUSION: Spinal cord MS plaques are characteristically peripherally located, are less than two vertebral segments in length, and occupy less than half the cross-sectional area of the cord.
机译:目的:确定影响脊髓的多发性硬化症(MS)的特征性磁共振(MR)成像特征。材料与方法:68例患者接受了颈椎和/或胸椎的MR成像。分析斑块的病变长度,横截面积和位置,信号强度和形态。 MS类型,疾病持续时间,性别和年龄的临床参数也与这些MR影像学发现相关。结果:68例患者中共发现124个脱髓鞘斑。 38个有一个以上斑块。大部分斑块是长度小于或等于两个的身体节段,位于周围,占不到脐带横截面积的50%。复发-进展型MS更有可能发生与脊髓萎缩相关的斑块。仅以MS的复发-释放形式发现脐带肿胀。结论:脊髓MS斑块特征性地位于外周,长度小于两个椎骨节段,并且占脊髓横截面面积的一半以下。

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