中国CT和MRI杂志2024,Vol.22Issue(9) :179-181.DOI:10.3969/j.issn.1672-5131.2024.09.059

脊髓灰质炎相关的严重肌肉萎缩和脂肪化1例

Poliomyelitis Related Severe Muscle Atrophy and Fat Deposition:A Case Report

李泓箭 李枝春 杨汉丰
中国CT和MRI杂志2024,Vol.22Issue(9) :179-181.DOI:10.3969/j.issn.1672-5131.2024.09.059

脊髓灰质炎相关的严重肌肉萎缩和脂肪化1例

Poliomyelitis Related Severe Muscle Atrophy and Fat Deposition:A Case Report

李泓箭 1李枝春 1杨汉丰1
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作者信息

  • 1. 川北医学院附属医院放射科(四川南充 637000)
  • 折叠

摘要

我们报告了一名有51年小儿麻痹症病史的女性患者.患者今年52岁,入院前一天摔伤右髋部.CT扫描显示骨盆、臀部和大腿肌肉出现了严重萎缩和脂肪化,右髋关节间隙增宽,右股骨颈骨折.肌肉的上述改变被认为是多年的脊髓灰质炎导致的废用性改变,该患者被诊断为脊髓灰质炎后综合征(PPS);在该病例中,肌肉横截面积(CSA)明显缩小,大腿各层面CSA中的肌间组织面积达到50%-70%.患者体内如此多的完全肌肉脂肪化是非常罕见的.

Abstract

We reported a 52-year-old woman with poliomyelitis for 51 years.She was admitted for a right hip injury after a fall injury one day before admission.CT scan revealed severe atrophy and fat deposition of the pelvis,buttock,and thigh muscles,with widening of the right hip joint space.There was also fracture in the the right femoral neck.As poliomyelitis causes muscle disuse,volume decreases,fat deposition occurred in her muscle in the later stage.The patient was diagnosed with post-polio syndrome(PPS);ln this case,the area of muscle's cross-sectional area(CSA)was significantly reduced,and the area of intermuscular tissue in CSA at all levels of thigh reached 50-70%.It is very rare to have such multiple complete muscle fat deposition in a patient.

关键词

CT/麻痹性脊髓灰质炎/脂肪化/肌肉萎缩

Key words

CT/Paralytic Poliomyelitis/Fat Deposition/Atrophy

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基金项目

南充市校合作科研专项(19SXHZ0446)

南充市校地合作项目(22SXQT0029)

国家临床重点专科建设项目(四川省卫计委医政函[2023]87号)

出版年

2024
中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
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