作者
Alexander C Bunck, Jan Robert Kroeger, Alena Juettner, Angela Brentrup, Barbara Fiedler, Gerard R Crelier, Bryn A Martin, Walter Heindel, David Maintz, Wolfram Schwindt, Thomas Niederstadt
发表日期
2012/9
期刊
European radiology
卷号
22
页码范围
1860-1870
出版商
Springer-Verlag
简介
Objective
To analyse cerebrospinal fluid (CSF) hydrodynamics in patients with Chiari type I malformation (CM) with and without syringomyelia using 4D magnetic resonance (MR) phase contrast (PC) flow imaging.
Methods
4D-PC CSF flow data were acquired in 20 patients with CM (12 patients with presyrinx/syrinx). Characteristic 4D-CSF flow patterns were identified. Quantitative CSF flow parameters were assessed at the craniocervical junction and the cervical spinal canal and compared with healthy volunteers and between patients with and without syringomyelia.
Results
Compared with healthy volunteers, 17 CM patients showed flow abnormalities at the craniocervical junction in the form of heterogeneous flow (n = 3), anterolateral flow jets (n = 14) and flow vortex formation (n = 5), most prevalent in patients …
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