临床孤立综合征36例临床和磁共振成像特点分析

摘要

目的：研究分析临床孤立综合征（CIS）的临床及磁共振成像（MRI）特征。方法选取2013年4月至2015年10月在我院所进行核磁共振的36例脊髓型临床孤立综合征病患，对影像结果进行观察分析。结果首次MRI阳性率达34（94.2%），20（55.3%）为颈髓受累，22（61.2%）的首发症状为孤立的感觉障碍；基线MRI的检查结果与确诊时的EDSS评分有正相关关系。结论磁共振成像（MRI）检查对于诊断临床孤立综合征（CIS）具有一定的作用，能够帮助确诊避免出现误诊和漏诊现象，同时皮质类固醇激素冲击治疗能够使病患的病情得到及时有效的控制及治疗，值得在临床中普及运用。%Objective: To study the clinical isolated syndrome(CIS) of the clinical and magnetic resonance imaging(MRI) features.Methods: a total of 2013 April to October 2015 in our hospital by nuclear magnetic resonance(NMR) 36 cases of spinal clinically isolated syndrome patients, the image results were observed and analyzed.Results: the first MRI positive rate reached 34 (94.2%), 20(55.3%) for cervical spinal involvement, the first symptom of 22(61.2%) for isolated sensory disturbance; baseline MRI findings and diagnosis of EDSS score has positive correlation.Conclusion: magnetic resonance imaging(MRI) examination for the diagnosis of clinically isolated syndrome(CIS) has a role to help the diagnosis to avoid misdiagnosis and missed diagnosis phenomenon, at the same time the corticosteroid impulse therapy can make the patient’s condition to get timely and effective control and treatment, worth in clinical universal use.