CLINICAL-FEATURES AND MR-IMAGING IN CHILDREN WITH REPAIRED MYELOMENINGOCELE

被引：7

作者：

BONO, R

INVERNO, M

BOTTEON, G

BRUZZONE, MG

VAGHI, MA

SOLERO, CL

PERLASCA, E

FEDRIZZI, E

机构：

[1] Divisione Neurologia dello Sviluppo, Istituto Nazionale Neurologico 'C. Besta', Milano, 20133

[2] Servizio di Neuroradiologia, Istituto Nazionale Neurologico 'C. Besta', Milano

[3] Divisione di Neurochirurgia II, Istituto Nazionale Neurologico 'C. Besta', Milano

[4] Divisione di Chirurgia Infantile, Ente Ospedaliero Niguarda 'Ca' Granda', Milano

来源：

ITALIAN JOURNAL OF NEUROLOGICAL SCIENCES | 1993年 / 14卷 / 07期

关键词：

MYELOMENINGOCELE; SPINAL CORD MALFORMATION; MR IMAGING;

D O I：

10.1007/BF02339214

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The aim of the study is to define the role of associated malformations in the clinical evolution of children affected by myelomeningocele. MRI investigation of the spinal cord was carried out on 25 patients between the age of 7.3 and 18.10 with MMC repaired and followed up for at least 7 years. The relation between associated malformations demonstrated by MRI and clinical trend was analysed. The results are the following: 1) presence of asymptomatic tethered cord in all cases; 2) high frequency (92%) of Chiari malformation; 3) presence of syringomyelia in 20% of patients, symptomatic in 1; 4) presence of ventricular enlargement in 72% of cases without increased intracranial pressure syndrome. For a better therapeutic approach prospective MRI studies are needed in order to follow up associated malformations.

引用

页码：553 / 559

页数：7

共 15 条

[1] Azimullah P.C., Smit L.M.E., Rietveld-Knol E., Valk J., Malformations of the spinal cord in 53 patients with spina bifida studied by magnetic resonance imaging, Child's Nerv. Syst., 7, pp. 63-66, (1991)
[2] Banta J.V., Tethered cord in myelomeningocele: should it be untethered?, Dev. Med. Child. Neurol., 33, pp. 167-176, (1991)
[3] Breningstall G.N., Marker S.M., Tubman D.E., Hydrosyringomyelia and dyastematomyelia detected by MRI in myelomeningocele, Pediatric Neurology, 8, 4, pp. 267-271, (1992)
[4] Gardner W.J., Hydrodynamic mechanisms of syringomyelia in relationship to myelocele, J. Neurol. Neurosurg. Psychiatry, 28, pp. 247-259, (1965)
[5] Gardner W., The mechanism of syringomyelia and its surgical correction, Clin. Neurosurg., 6, pp. 131-140, (1975)
[6] Gilbert J.N., Jones K.L., Rorke L.B., Et al., Central nervous anomalies associated with myelomeningocele, hydrocephalus and Arnold Chiari malformations
[7] reappraisal of theories regarding the pathogenesis of posterior neural tube closure defects, Neurosurgery, 18, pp. 559-564, (1986)
[8] Heinz R.E., Rosenbaum A.E., Scarff T.B., Et al., Tethered spinal cord following meningomyelocele repair, Radiology, 131, pp. 153-160, (1979)
[9] Just M., Ermert J., Higer H.P., Et al., Magnetic resonance imaging of postrepair-myelomeningocele findings in 31 children and adolescents, Neurosurg. Rev., 10, pp. 47-52, (1987)
[10] Nelson M.D., Bracchi M., Naidich T.P., McLone D.G., The natural history of repaired myelomeningocele, Radiographics, 8, pp. 695-706, (1988)

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