Abstract
We described a case of radiation myelopathy (RM). The correlations of evolutional changes in magnetic resonance image (MRI) findings in three years with clinical symptoms and treatment responses in different stages of the disease were discussed. We also describe some special rehabilitative consideration for RM patients. Cord enlargement with contrast-enhancement showed in MRI findings corresponding to rapid neurological deterioration. Some neurological improvement after anti-coagulation and I steroid therapy was observed in this stage. Cord atrophy without contrast-enhancement was showed in following MRI. The neurological deficits still progressed slowly in this stage and almost did not response to the treatment. We conclude that MRI is a powerful diagnostic tool for RM and may predict the treatment responses.
Translated title of the contribution | 放射治療後脊髓病變臨床病程與核磁共振影像之相關:病例報告 |
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Original language | English |
Pages (from-to) | 99-104 |
Number of pages | 6 |
Journal | 台灣復健醫學雜誌 |
Volume | 31 |
Issue number | 2 |
Publication status | Published - 2003 |
Keywords
- 放射治療併發症,核磁共振,脊髓
- radiation complication
- magnetic resonance image
- spinal cord