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|標題:||Combination of transverse myelitis and arachnoiditis in cauda equina syndrome of long-standing ankylosing spondylitis: MRI features and its role in clinical management||作者:||Lan, H.H.C.
|關鍵字:||ankylosing spondylitis;arachnoiditis;cauda equina syndrome;dural;diverticula;magnetic resonance imaging;transverse myelitis||Project:||Clinical Rheumatology||期刊/報告no：:||Clinical Rheumatology, Volume 26, Issue 11, Page(s) 1963-1967.||摘要:||
The cauda equina syndrome (CES) is a rare neurological complication of ankylosing spondylitis (AS). Imaging diagnosis of CES in long-standing AS patients (CES-AS) using myelography, computed tomography (CT), and magnetic resonance imaging (MRI) were reported in the literature. They, however, demonstrate only the chronic abnormalities of CES-AS, i.e., dural ectasia, dorsal dural diverticula, and selective bone erosion at the posterior elements of the vertebrae. To our knowledge, imaging features of acute intradural inflammation in CES-AS were not described. We report a patient of CES-AS in whom MRI disclosed acute transverse myelitis and arachnoiditis along the lower spinal cord, and discuss the pathogenesis of CES-AS and the role of MRI in clinical management.
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