The Correlation of Clinical Course and Magnetic Resonance Image Findings of Radiation Myelopathy:A Case Report

Jiunn-Horng Kang; Yen-Ho  Wang; Kou-Mou  Huang

The Correlation of Clinical Course and Magnetic Resonance Image Findings of Radiation Myelopathy:A Case Report

貢獻的翻譯標題: 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

Jiunn-Horng Kang, Yen-Ho Wang, Kou-Mou Huang

研究成果: 雜誌貢獻 › 文章 › 同行評審

摘要

本報告提出一位放射治療後脊髓病變的病例。在追蹤三年中，對於臨床症狀及治療反應，與核磁共振的影像之間的相關加以討論。同時對於此類病患所須的特別復健考量加以討論
結果顯示核磁共振出現脊髓腫大及出現不正常顯影劑顯影，和臨床症狀快速惡化有明顯相關，在此時期若給予抗凝血劑及類固醇治療可以觀察到某些神經學上的進步。當追蹤的核磁共振下出現脊髓萎縮，同時不正常顯影消失，此時期仍有緩慢的神經學惡化，並且對於治療幾乎沒有反應。我們認為核磁共振對於放射治療後脊髓病變是一個極有用的診斷工具，並且可用來預測治療的反應。

貢獻的翻譯標題	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
原文	英語
頁（從 - 到）	99-104
頁數	6
期刊	台灣復健醫學雜誌
卷	31
發行號	2
出版狀態	已發佈 - 2003

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http://www.AiritiLibrary.com/Publication/Index/10253009-200306-31-2-99-104-a

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title = "The Correlation of Clinical Course and Magnetic Resonance Image Findings of Radiation Myelopathy:A Case Report",

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.",

keywords = "放射治療併發症,核磁共振,脊髓, radiation complication, magnetic resonance image, spinal cord",

author = "Jiunn-Horng Kang and Yen-Ho Wang and Kou-Mou Huang",

year = "2003",

language = "English",

volume = "31",

pages = "99--104",

journal = "台灣復健醫學雜誌",

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T1 - The Correlation of Clinical Course and Magnetic Resonance Image Findings of Radiation Myelopathy:A Case Report

AU - Kang, Jiunn-Horng

AU - Wang, Yen-Ho

AU - Huang, Kou-Mou

PY - 2003

Y1 - 2003

N2 - 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.

AB - 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.

KW - 放射治療併發症,核磁共振,脊髓

KW - radiation complication

KW - magnetic resonance image

KW - spinal cord

M3 - Article

SN - 1025-3009

VL - 31

SP - 99

EP - 104

JO - 台灣復健醫學雜誌

JF - 台灣復健醫學雜誌

IS - 2

ER -

The Correlation of Clinical Course and Magnetic Resonance Image Findings of Radiation Myelopathy:A Case Report

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