[Utility of spinal MRI tractography and spinal MRI angiography in the diagnosis of spastic diplegia].
[Utility of spinal MRI tractography and spinal MRI angiography in the diagnosis of spastic diplegia].
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脊髓 MRI 纤维束成像和脊髓 MRI 血管造影在痉挛性瘫痪诊断中的应用[J].
DOI：
10.17116/jnevro2022122071151
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发表时间：
2022
影响因子：
--
通讯作者：
O. Klicenko
中科院分区：
文献类型：
--
作者：
V. Belenky;E. A. Kozireva;N. A. Plakhotina;A. Skoromets;P. P. Dugaev;O. Leontiev;O. Klicenko
关于脑瘫的性质，目前存在着不同的观点，但尚未被普遍接受。因为，每一个新的观察，这种疾病的基础上彻底的临床检查可以转换为明确和简单的概念模糊。我们报告的情况下，4岁的男孩与下截瘫和语言发育迟缓。双侧腓肠肌和大腿内收肌张力增加。髂骨肌张力降低。电生理检查显示L2-S2水平运动神经元兴奋性降低。除了胸部损伤和脑部病变外，MRI还证实了该水平的脊髓病变。MRI脊髓血管造影检测到迂曲的脊髓前动脉。男孩受益于茶碱电泳，应用于下胸椎和第一腰椎，改善了他的腿部运动技能。我们的介绍证明了脊髓的参与和应用于脊柱的治疗的益处，从而证实了英国外科医生James Little在1853年对脑瘫的最初描述。
There are different views on the nature of cerebral palsy, but no one has been accepted commonly. Since, every new observation of this disorder based on thorough clinical examination could convert the obscurity into clear and simple conception. We report the case of 4-year-old boy with lower paraplegia and speech retardation. The tonus was increased bilaterally in gastrocnemius muscles and thigh adductors. The muscle tonus was decreased in iliopsous. Electrophysiological examination revealed signs of decreased excitability of motoneurons at the level L 2 - S 2. MRI has confirmed lesions of spinal cord at that level in addition to injury at thoracic level and brain lesions. MRI spinal angiography has detected tortuous anterior spinal artery. The boy benefited from the electrophoresis with theophylllinum, applied on lower thoracic and first lumbar vertebrae with improvement of his legs motor skills. Our presentation testifies to involvement of spinal cord and benefits from therapy applied on spine and, thus, confirms the initial description of cerebral palsy in 1853 made by English surgeon James Little.