Epidural Hematoma of the Lumbar Spine, Simulating Extruded Lumbar Disk Herniation: Clinical, Discographic, and Enhanced Magnetic Resonance Imaging Features

Spine ◽  
1997 ◽  
Vol 22 (1) ◽  
pp. 105-109 ◽  
Author(s):  
Nobuyoshi Watanabe ◽  
Taku Ogura ◽  
Kokuto Kimori ◽  
Hitoshi Hase ◽  
Yasusuke Hirasawa
2019 ◽  
Vol 54 (3) ◽  
pp. 183-189 ◽  
Author(s):  
Marcus Raudner ◽  
Markus M. Schreiner ◽  
Vladimir Juras ◽  
Michael Weber ◽  
David Stelzeneder ◽  
...  

Spine ◽  
1993 ◽  
Vol 18 (1) ◽  
pp. 109-113 ◽  
Author(s):  
Janette M. Vincent ◽  
Jane E. Baldwin ◽  
Clare Sims ◽  
Adrian K. Dixon

1991 ◽  
Vol 40 (1) ◽  
pp. 171-176
Author(s):  
Shinpei Miyazaki ◽  
Kensei Nagata ◽  
Teruaki Ohashi ◽  
Masashi Sagara ◽  
Kengi Tanaka ◽  
...  

2010 ◽  
Vol 53 (9) ◽  
pp. 633-641 ◽  
Author(s):  
Yawara Eguchi ◽  
Seiji Ohtori ◽  
Masaomi Yamashita ◽  
Kazuyo Yamauchi ◽  
Munetaka Suzuki ◽  
...  

1992 ◽  
Vol 41 (1) ◽  
pp. 410-413
Author(s):  
Naoyuki Kuga ◽  
Keiichirou Shiba ◽  
Takayoshi Ueta ◽  
Kenzou Shirasawa ◽  
Hideki Ohta ◽  
...  

PM&R ◽  
2009 ◽  
Vol 1 ◽  
pp. S156-S157
Author(s):  
YouSuk Youn ◽  
Youngkwon Choi ◽  
Kitaek Hong ◽  
Wonseok Jung ◽  
Sangho Lee ◽  
...  

2019 ◽  
Vol 70 (4) ◽  
pp. 403-407 ◽  
Author(s):  
Davina Mak ◽  
Alessandro Vidoni ◽  
Steven James ◽  
Munchi Choksey ◽  
David Beale ◽  
...  

Spinal synovial cysts are relatively uncommon and are most frequently found in the lumbar spine and rarely in the cervical spine. Intraspinal extradural cervical synovial cysts can occur and potentially cause cord/nerve root compression with symptoms of myelopathy/radiculopathy; however, most are asymptomatic and incidental findings. We conducted a literature review and present, to our knowledge, the largest imaging case series and describe the magnetic resonance imaging features of cervical synovial cysts.


2020 ◽  
Vol 8 (2) ◽  
pp. 80-87
Author(s):  
Vulchi Ranjith Kumar ◽  
Rama Krishna Rao Baru

Background: The advantage of Magnetic resonance imaging include multiplanar capabilities and soft-tissue contrast resolution, which is superior to that of CT. Magnetic resonance (MR) imaging is a powerful diagnostic tool that can be used to help evaluate spinal infection and to help distinguish between an infection and other clinical conditions. Aim of the current study is to evaluate various spectrum and types of spinal infections, and discussing the role of MRI in diagnosing them and their characterization. Subjects & Methods: This Hospital-based prospective study consists 30 patients with clinically suspected spinal infections and chronic non-resolving low backache referred to the department of Radiodiagnosis in a period of 2 years. Investigations include Complete blood count, ESR, sputum analysis for acid-fast bacilli and MRI of the spine. Results: 20 cases involved the lumbar spine, of which 12 were tubercular, seven were pyogenic, and one case was actinomycosis. In total 21 tubercular cases, 12 cases involved lumbar spine (57%), 8 cases affects the thoracic spine (38%), and 1 case involves the cervical spine (P = 0.562). the incidence of spondylodiscitis is common overall in the lumbar spine. 23.8% of tubercular and 12.5 %of pyogenic cases involved more than two vertebrae. T1 hypointensity is seen in 18 cases of tuberculosis (85%), 8 cases of pyogenic (75%), and 1 case of actinomycosis (100%) (P = 0.801). 4 cases showed preservation of disc height, among which three are tubercular (75%), and 1 was actinomycosis (25%). 85 % of tubercular and 100% of pyogenic cases showed disc narrowing. 81 % of tubercular and 100 % of pyogenic cases showed disc hyperintensity. Nine cases of tuberculosis (42.9%) and 3 cases of pyogenic (37.5 %) showed epidural abscess. 26 cases showed para vertebral extension of which 18 were tubercular (69.2 %), 7 were pyogenic (26.9 %) and 1 was actinomycosis (3.8 %). 94% of tubercular and 42 % of pyogenic abscesses showed a well-defined para spinal signal in cases of paraspinal extension. 15 of the 18(83%) tuberculosis, 3 of the 7 (42%)cases of pyogenic, and 1 case of actinomycosis showed subligamentous spread along more than three vertebrae. Heterogenous enhancement was noted in 12 of the 15 (80%) tubercular cases, 1 of the 3 (33%) pyogenic cases, and 1(100%) actinomycosis case. 71% tubercular cases and 2 of 8 (25%) cases showed predominant anterior 2/3rd involvement. Grade III or more (>50%) vertebral destruction was seen in 16 tubercular (76%) and 2 pyogenic cases (25%). Six cases showed skip lesions of which 5were tubercular and 1 was pyogenic. 5 of the 21 (23.8%) tubercular and 1 of the 8 (12.5%) pyogenic cases showed skip lesions. Conclusion: Awareness of atypical MR imaging at early infectious spondylitis is important to avoid diagnostic delay and unnecessary other diagnostic procedures. Several non-infectious conditions may simulate the spinal infections. Hence It is helpful to be aware of these diseases and their MR imaging features. With these points in mind, MR imaging can be very beneficial to patients with spinal infection. 


1999 ◽  
Vol 54 (1) ◽  
pp. 25-28 ◽  
Author(s):  
Roberto Basile Júnior ◽  
Laércio Alberto Rosemberg ◽  
Fernando Machado Pedrosa ◽  
Eduardo Von Uhlendorff ◽  
Claudia M. Matuoka ◽  
...  

The authors report the magnetic resonance imaging diagnostic features in two cases with respectively lumbar epidural hematoma and cavernous hemangioma of the lumbar epidural space. Enhanced MRI T1-weighted scans show a hyperintense signal rim surrounding the vascular lesion. Non-enhanced T2-weighted scans showed hyperintense signal.


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