• 1.四川省骨科醫(yī)院放射科;2.四川大學(xué)華西醫(yī)院放射科，四川成都 610041;

目的:通過分析平山病的磁共振成像(MRI)表現(xiàn)特點和結(jié)合文獻復(fù)習(xí)，提高其診斷水平。方法:報道1例經(jīng)臨床證實的平山病患者的MRI表現(xiàn)，并復(fù)習(xí)文獻，探討MRI表現(xiàn)的相關(guān)發(fā)病機制及病理解剖基礎(chǔ)。結(jié)果:采用西門子Sonata 1.5T磁共振機，先取生理狀態(tài)下頸椎MRI檢查，顯示脊髓前角非對稱性萎縮和脊髓背側(cè)硬膜外靜脈叢擴張；再行屈頸狀態(tài)下MRI檢查，可見頸髓的硬脊膜后壁向前推移，下段頸髓局限受壓變細征。結(jié)論:平山病有特征性MRI表現(xiàn)，結(jié)合臨床、常規(guī)位和功能位屈頸狀態(tài)的MRI檢查，可以提示平山病。

引用本文： 易雪冰,鄧開鴻,張德洲. 平山病患者MRI表現(xiàn)及文獻復(fù)習(xí). 華西醫(yī)學(xué), 2009, 24(1): 150-152. doi: 復(fù)制

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  1. 1. Robberecht W，Aguirre T，Van den Bosch L，et al.Familial juvenile focal amyotrophy of the upper extremity (Hirayama Disease).Superoxide dismutase 1 genotype and activity[J].Arch Neurol，1997，54(1):46-50..
  2. 2. Schroder R，Keller E，F(xiàn)lacke S，et al.MRI findings in Hirayama’s disease:flexioninduced cervical myelopathy or intrinsic motor neuron disease?[J]J Neurol，1999，246(11):10691074..
  3. 3. Hirayama K，Tokumamu Y.Cervical dural sac and spinal cord in juvenile muscular atrophy of distal upper extremity[J].Neurology，2000，54(10):1922-1926..
  4. 4. Chen CJ，Chen CM，Wu CL，et al.Hirayama Disease:MR Diagnosis[J].AJN R Am J Neuroradiol，1998，19(2):365-384..
  5. 5. Bland JH.Basic anatomy[M].2nd ed.Philadelphia，Pa:Saunders，1994:41-70..
  6. 6. Toma S，Shiozawa Z.Amyotrophic cervical myelopathy in adolescence[J].J Neurol Neurosurg Psychiatry，1995，58 (1):56-64.