目的:通過分析平山病的磁共振成像(MRI)表現特點和結合文獻復習，提高其診斷水平。方法:報道1例經臨床證實的平山病患者的MRI表現，并復習文獻，探討MRI表現的相關發病機制及病理解剖基礎。結果:采用西門子Sonata 1.5T磁共振機，先取生理狀態下頸椎MRI檢查，顯示脊髓前角非對稱性萎縮和脊髓背側硬膜外靜脈叢擴張；再行屈頸狀態下MRI檢查，可見頸髓的硬脊膜后壁向前推移，下段頸髓局限受壓變細征。結論:平山病有特征性MRI表現，結合臨床、常規位和功能位屈頸狀態的MRI檢查，可以提示平山病。
引用本文：
易雪冰,鄧開鴻,張德洲. 平山病患者MRI表現及文獻復習. 華西醫學, 2009, 24(1): 150-152. doi:
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- 3. Hirayama K，Tokumamu Y.Cervical dural sac and spinal cord in juvenile muscular atrophy of distal upper extremity[J].Neurology，2000，54(10):1922-1926..
- 4. Chen CJ，Chen CM，Wu CL，et al.Hirayama Disease:MR Diagnosis[J].AJN R Am J Neuroradiol，1998，19(2):365-384..
- 5. Bland JH.Basic anatomy[M].2nd ed.Philadelphia，Pa:Saunders，1994:41-70..
- 6. Toma S，Shiozawa Z.Amyotrophic cervical myelopathy in adolescence[J].J Neurol Neurosurg Psychiatry，1995，58 (1):56-64.
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