摘要
目的 探讨原发性脊柱硬膜外淋巴瘤的临床及影像学特征。方法 回顾性分析８ 例经手术病理证实的原发性脊柱硬膜外淋巴瘤的临床和影像学表现（ 包括脊柱Ｘ 线平片，椎管造影，ＣＴ和ＭＲＩ检查） 。结果 原发性脊柱硬膜外淋巴瘤男性多见，常累及胸椎，有持续性腰背痛或脊柱叩击痛，脊髓压迫症进展迅速；ＣＴ和ＭＲＩ显示硬膜外软组织影，包绕硬膜囊生长并使其向心性缩窄，病理为非何杰金淋巴瘤。结论 结合临床及影像学表现，有可能在术前对本病作出正确诊断。
Objective To investigate the clinical and imaging features of primary spinal epidural lymphoma (PSEL). Methods We retrospectively studied 8 cases of PSEL diagnosed by histopathological examination. Imaging examinations included spinal radiography, myelography, CT and MRI. Results Male is more common than female and thoracic segment is the mostly commonly affected segment. A prodrome of back pain followed by a rapid neurogical deterioration was seen in majority of our patients. CT and MRI demonstrated masses in epidural and/or paraspinal space which was surrounding the spinal cord. All 8 cases underwent a decompressive leminectomy and tumor resection and histologically confirmed non Hodgkins lymphoma. Conclusions According to clinical and imagming features, it may be possible to diagnose PSEL before operation.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
1999年第6期352-354,共3页
Chinese Journal of Nervous and Mental Diseases
关键词
淋巴瘤
脊髓压迫症
影像学
脊柱硬膜外
Lymphoma Spine Primary Spinal cord compression Radiography
