造影MRIが診断に有用であった円錐部梗塞の1例

DOI Web Site

書誌事項

タイトル別名
  • A case of the infarction of the conus medullaris for which contrast-enhanced MRI was useful in the diagnosis
  • 症例報告 造影MRIが診断に有用であった円錐部梗塞の1例
  • ショウレイ ホウコク ゾウエイ MRI ガ シンダン ニ ユウヨウ デ アッタ エンスイブ コウソク ノ 1レイ

この論文をさがす

抄録

Spinal cord infarction is uncommon. The infarction of conus medullaris is even rarer among them. We report a patient with sudden onset paraplegia of lower extremities.<br>Case: A male in his seventies was brought to our hospital due to sudden onset bilateral leg weakness after defecation. He manifested paraplegia and urinary retention, but brain and lumbar spinal cord MRI revealed no abnormalities. We consulted neurology given the high likelihood of spinal cord pathology. MRI with contrast focused on conus medullaris was obtained which revealed infarction in the cauda equina, which led to the diagnosis of the infarction of the conus medullaris.<br>Discussion: Contrast effect on MRI on cauda equina isn't apparent in acute phase of infarction. It is observed in several spinal cord diseases other than infarction. Therefore the contrast enhanced MRI doesn’t have high sensitivity nor specificity. However, when clinical suspicion of spinal cord infarction is high, it could severe as a useful modality for diagnosis.<br>Conclusion: The infarction of conus medullaris is rare, but clinicians need to keep this condition in mind as one of the important differential diagnosis in emergency medicine.

収録刊行物

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ