摘要
无骨折脱位型颈髓损伤(spinal cord injuries without radiologic abnormality,SCIWORA)是指暴力造成了脊髓损伤而X线或CT等放射学检查没有可见的脊柱骨折、脱位等异常发现,占儿童创伤性脊髓病的19%~34%。SCIWORA起病后多无发热或仅有短时低热,进展期短,较多以脊髓完全横贯性损害起病,较少以主观感觉异常起病。需与急性脊髓炎等疾病相鉴别。存在脊髓损伤现象但X线、CT均无异常的患儿应考虑SCIWORA,并尽快完善MRI以明确诊断,并依据其ASIA分期采取对症治疗,降低后遗症率。该文查阅近10年国内外相关文献综述儿童SCIWORA的病因,临床特点及影像学表现,提高儿科医生对于SCIWORA的认识。
Spinal cord injuries without radiologic abnormality (SCIWORA) refers to the violence caused by spinal cord injury and radiological examination such as X-ray or CT no visible spine fracture and dislocation, abnormal findings, 19% to 34% of children traumatic spinal cord disease.After SCIWORA occurs, there was no fever or low heat, and the progress period was short, and the disease of the spinal cord was more than normal, and the disease was less subjective.It should be identified with acute myelitis and other diseases.To improve pediatrician′s understanding of SCIWORA, this review summarizes the etiology, clinical characteristics and imaging manifestations of SCIWORA in children in recent 10 years.
作者
赵贺
滕紫藤(综述)
刘雪雁(审校)
Zhao He;Teng Ziteng;Liu Xueyan(Pediatric Neurology, Shengjing Hospital of China Medical University, Shenyang110004, China)
出处
《国际儿科学杂志》
2019年第3期174-177,共4页
International Journal of Pediatrics
关键词
无骨折脱位型脊髓损伤
解剖学结构
脊髓MRI
糖皮质激素治疗
Spinal cord injuries without radiologic abnormality
Anatomical structure
Spinal MRI
Glucocorticoid therapy
