MedElevator
Войти в исследования Medicine · 2018
Three-point sign in subacute combined degeneration of the spinal cord: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Zhang Hai-Ning, Wang Lei, Sun Li, Yang Yu
Аннотация
RATIONALE: Subacute combined degeneration (SCD) of the spinal cord has been reported to have distinctive characteristics on magnetic resonance imaging (MRI), such as an "inverted V sign", a "pair of binoculars sign", and a "dot sign". We report a 3-point sign as a novel MRI characteristic, expanding the spectrum of imaging signs for SCD.
PATIENT CONCERNS: A 64-year-old female vegetarian presented with a 3-month history of progressive numbness and weakness in the lower extremities.
DIAGNOSIS: Laboratory examination showed a reduced serum vitamin B12 level. Spinal MRI showed hyperintensity within the posterior and lateral columns (appearing as a three-point sign) on T2-weighted imaging. Thus, the patient was diagnosed with SCD.
INTERVENTIONS: The patient was treated with intravenous cyanocobalamin and oral vitamin B12.
OUTCOMES: After a follow-up period of 5 months, the symptoms were significantly improved.
LESSONS: Clinicians should be aware of this atypical MRI pattern, which may facilitate an early diagnosis.
PATIENT CONCERNS: A 64-year-old female vegetarian presented with a 3-month history of progressive numbness and weakness in the lower extremities.
DIAGNOSIS: Laboratory examination showed a reduced serum vitamin B12 level. Spinal MRI showed hyperintensity within the posterior and lateral columns (appearing as a three-point sign) on T2-weighted imaging. Thus, the patient was diagnosed with SCD.
INTERVENTIONS: The patient was treated with intravenous cyanocobalamin and oral vitamin B12.
OUTCOMES: After a follow-up period of 5 months, the symptoms were significantly improved.
LESSONS: Clinicians should be aware of this atypical MRI pattern, which may facilitate an early diagnosis.