STUDY OF MRI MORPHOLOGY OF SPINAL TUBERCULOSIS

2021 ◽  
pp. 76-78
Author(s):  
K.Nikhitha Reddy ◽  
V. Venkatarathnam ◽  
R.Ramesh Kumar ◽  
Dinesh Ram
Keyword(s):  
Intervertebral Disc ◽  
Psoas Abscess ◽  
Cervical Vertebrae ◽  
Spinal Tuberculosis ◽  
Lumbar Vertebrae ◽  
Cord Compression ◽  
Vertebral Endplate ◽  
Early Assessment ◽  
Tissue Component ◽  
Tuberculosis Of Spine

OBJECTIVE: To study the morphology of tuberculosis of spine on MRI. METHODS AND MATERIALS: A retrospective study was done in the department of Radiodiagnosis, PESIMSR, Kuppam.This study includes 37 patients with suspected Spinal Tuberculosis, who were referred to the department of Radiodiagnosis between 2019 Jan to 2021 July. Informed consent was taken from all the patients. This study was done on GE Signa Explorer 1.5 Tesla. RESULTS: A total of 37 cases were included in the study. Of these 37 cases, 31 were males and 6 were females. The most common age group involved was between 20-40 years, seen in 15 cases followed by 41-60 yrs seen in 14 cases and 61-90 yrs seen in 8 cases. Lumbar vertebrae were commonly affected accounting for 86% of total cases (32cases) followed by dorsal and cervical vertebrae accounting for 8% and 5 % respectively (3 and 2 cases respectively). Intervertebral disc involvement (Discitis) was most commonly seen in 32 cases followed by vertebral endplate involvement (27 cases) in our study. Prevertebral & paravertebral involvement were found in 20 and 23 cases respectively . In our study,19 cases had shown the involvement of posterior elements .Epidural soft tissue component was seen in 22 cases. Psoas abscess and paraspinal involvement were seen in 9 and 8 cases respectively. CONCLUSION: MRI helps in the early assessment of the extent and severity of disease compared to X-ray and CT scan. It is valuable in detecting early marrow changes, intervertebral disc involvement, extradural abscess and cord compression.

scholarly journals Pregnancy in Pott’s Disease: A Case Report and Review

2013 ◽  
Vol 25 (1) ◽  
pp. 37-40 ◽  
Author(s):  
N Yusuf ◽  
MA Ali ◽  
Q Ahmad ◽  
L Rahman ◽  
T Nigar
Keyword(s):  
Case Report ◽  
Intervertebral Disc ◽  
Spinal Tuberculosis ◽  
Cord Compression ◽  
Lower Limbs ◽  
Sensory Loss ◽  
Term Pregnancy ◽  
Delay In Diagnosis ◽  
Healthy Female ◽  
Female Baby

Spinal tuberculosis (Pott’s disease) during pregnancy reported to be rare & can be associated  with destruction of the intervertebral disc & adjacent vertebrae that can lead to cord compression  & thereby paraplegia or quadriplegia. Delay in diagnosis is common & most cases are diagnosed  when paraplegia has already been occurred. This serious complication requires special attention  during pregnancy & delivery. Here we reported a case of term pregnancy with Pott’s paraplegia.  As the patient had complete motor & sensory loss from D7 level, (above the level of umbilicus  to the lower limbs) LUCS was done without anesthesia & a healthy female baby was delivered.  She did not require any analgesia post operatively DOI: http://dx.doi.org/10.3329/bjog.v25i1.13731 Bangladesh J Obstet Gynaecol, 2010; Vol. 25(1) : 37-40

Magnetic resonance imaging evaluation of posterior spinal tuberculosis: a cross-sectional study

2020 ◽  
pp. 028418512094849
Author(s):  
Deb K Boruah ◽  
Bidyut B Gogoi ◽  
Arjun Prakash ◽  
Navneet R Lal ◽  
Karuna Hazarika ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Epidural Abscess ◽  
Facet Joint ◽  
Cervical Vertebrae ◽  
Spinal Tuberculosis ◽  
Lumbar Vertebrae ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Spinal Inflammation

Background Isolated posterior spinal (element) tuberculosis (TB) is uncommon compared to classical anterior spinal or para-discal TB. Here, we report magnetic resonance imaging (MRI) findings of posterior spinal TB in 19 patients without involvement of the vertebral body and intervertebral disc. Purpose To evaluate the MRI findings in isolated posterior spinal (element) TB. Material and Methods Clinical and MRI data of 19 patients of isolated posterior spinal TB were retrospectively evaluated. Results Of the 19 patients, group A comprised 4 (21%) patients with rapid onset lower limb weakness and pyramidal signs while group B comprised 15 (79%) patients without any neurological deficit. Lumbar vertebrae commonly affected 9 (47.4%) patients followed by dorsal vertebrae in 8 (42.1%) patients and cervical vertebrae in 2 (10.5%) patients. The pedicle was most commonly involved in 12 (63.2%) patients followed by the lamina in 11 (58%) patients, and spinous process and facet joint in 6 (31.6%) patients each. Extra-spinal inflammation/pyomyositis/paraspinal abscess was found in 13 (68.4%) patients followed by epidural abscess 3 (15.8%) patients and both extra spinal inflammation and epidural abscess in 3 (15.8%) patients (15.8%). Compressive cord myelopathy was observed in 4 (21%) patients, where three patients underwent emergency decompression laminectomy and the remaining 16 patients were treated conservatively with anti-tubercular therapy. Conclusion Initial diagnosis of isolated posterior element TB is challenging and requires a high index of suspicion. Early diagnosis of isolated posterior spinal TB is important as early treatment may be beneficial and decreases patient morbidity.

Association between Measures of Vertebral Endplate Morphology and Lumbar Intervertebral Disc Degeneration

2017 ◽  
Vol 68 (2) ◽  
pp. 210-216 ◽  
Author(s):  
Semra Duran ◽  
Mehtap Cavusoglu ◽  
Hatice Gul Hatipoglu ◽  
Deniz Sozmen Cılız ◽  
Bulent Sakman
Keyword(s):  
Intervertebral Disc ◽  
Disc Degeneration ◽  
Intervertebral Disc Degeneration ◽  
Lumbar Disc ◽  
Lumbar Disc Degeneration ◽  
Vertebral Endplate ◽  
Lumbar Intervertebral Disc ◽  
Sagittal Diameter ◽  
Magnetic Resonance Imaging Mri ◽  
Vertebral Endplates

Purpose The aim of this study was to evaluate the association between vertebral endplate morphology and the degree of lumbar intervertebral disc degeneration via magnetic resonance imaging (MRI). Methods In total, 150 patients who met the inclusion criteria and were 20–60 years of age were retrospectively evaluated. Patients were evaluated for the presence of intervertebral disc degeneration or herniation, and the degree of degeneration was assessed at all lumbar levels. Vertebral endplate morphology was evaluated based on the endplate sagittal diameter, endplate sagittal concave angle (ECA), and endplate sagittal concave depth (ECD) on sagittal MRI. The association between intervertebral disc degeneration or herniation and endplate morphological measurements was analysed. Results In MRI, superior endplates ( ie, inferior endplates of the superior vertebra) were concave and inferior endplates ( ie, superior endplates of the inferior vertebra) were flat at all disc levels. A decrease in ECD and an increase in ECA were detected at all lumbar levels as disc degeneration increased ( P < .05). At the L4-L5 and L5-S1 levels, a decrease in ECD and an increase in ECA were detected in the group with herniated lumbar discs ( P < .05). There was no association between lumbar disc degeneration or herniation and endplate sagittal diameter at lumbar intervertebral levels ( P > .05). At all levels, ECD of women was significantly lesser than that of men and ECA of women was significantly greater than that of men ( P < .05). Conclusions There is an association between vertebral endplate morphology and lumbar intervertebral disc degeneration. Vertebral endplates at the degenerated disc level become flat; the severity of this flattening is correlated with the degree of disc degeneration.

scholarly journals Predicting neurological deficit in patients with spinal tuberculosis – A single-center retrospective case-control study

SICOT-J ◽  
2021 ◽  
Vol 7 ◽  
pp. 7
Author(s):  
Samarth Mittal ◽  
Gagandeep Yadav ◽  
Kaustubh Ahuja ◽  
Syed Ifthekar ◽  
Bhaskar Sarkar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Neurological Deficit ◽  
Spinal Tuberculosis ◽  
Multivariate Logistic Regression Analysis ◽  
Cord Compression ◽  
Early Surgery ◽  
Retrospective Case ◽  
Common Location ◽  
Significant Difference ◽  
Canal Encroachment

Background: Identifying the risk factors for the neurological deficit in spine tuberculosis would help surgeons in deciding on early surgery, thus reducing the morbidity related to neurological deficit. The main objective of our study was to predict the risk of neurological deficit in patients with spinal tuberculosis (TB). Methods: The demographic, clinical, radiological (X-ray and MRI) data of 105 patients with active spine TB were retrospectively analyzed. Patients were divided into two groups – with a neurological deficit (n = 52) as Group A and those without deficit (n = 53) as Group B. Univariate and multivariate logistic regression analysis was used to predict the risk factors for the neurological deficit. Results: The mean age of the patients was 38.1 years. The most common location of disease was dorsal region (35.2%). Paradiscal (77%) was the most common type of involvement. A statistically significant difference (p < 0.05) was noted in the location of disease, presence of cord compression, kyphosis, cord oedema, loss of CSF anterior to the cord, and degree of canal compromise or canal encroachment between two groups. Multivariate analysis revealed kyphosis > 30° (OR – 3.92, CI – 1.21–12.7, p – 0.023), canal encroachment > 50% (OR – 7.34, CI – 2.32–23.17, p – 0.001), and cord oedema (OR – 11.93, CI – 1.24–114.05, p – 0.03) as independent risk factors for predicting the risk of neurological deficit. Conclusion: Kyphosis > 30°, cord oedema, and canal encroachment (>50%) significantly predicted neurological deficit in patients with spine TB. Early surgery should be considered with all these risk factors to prevent a neurological deficit.

Calcium carbonate apatite deposition in the cervical spine with associated vertebral destruction

1997 ◽  
Vol 86 (6) ◽  
pp. 1022-1026 ◽  
Author(s):  
Jeffrey G. Ojemann ◽  
Robert L. Grubb ◽  
Michael Kyriakos ◽  
Kim B. Baker
Keyword(s):  
Cervical Spine ◽  
Calcium Carbonate ◽  
Cervical Vertebrae ◽  
Vascular Diseases ◽  
Cord Compression ◽  
Carbonate Apatite ◽  
Crystal Deposition ◽  
Collagen Vascular Diseases ◽  
Content Type ◽  
Deposition Disease

✓ This 52-year-old woman developed crystal deposition disease involving the cervical vertebrae. She presented with symptomatic spinal cord compression secondary to extensive calcified lesions in the posterior elements of the cervical spine. Surgical decompression with posterior fusion was performed. Histological examination showed hardened deposits of calcium carbonate involving the soft tissue, and dissolution of the vertebral bone trabeculae. There was no inflammatory response to these deposits. One year postoperatively the patient developed severe pulmonary disease associated with the collagen-vascular disorder, scleroderma (calcinosis, Raynaud's phenomenon, esophageal hypomotility, sclerodactyly, and telangiectasia [CREST] syndrome). Calcium carbonate deposition disease represents an unusual clinical entity that is possibly associated with scleroderma or other collagen-vascular diseases, and it is distinct from ligamentum flavum calcification, calcium pyrophosphate deposition disease, and hydroxyapatite deposition disease.

The locomotor system

2013 ◽  
Author(s):  
Martin E. Atkinson
Keyword(s):  
Vertebral Column ◽  
Cervical Vertebrae ◽  
Lumbar Vertebrae ◽  
Posterior Wall ◽  
Axial Skeleton ◽  
Intervertebral Discs ◽  
Central Canal ◽  
The Body ◽  
Thoracic Vertebrae ◽  
Locomotor System

The locomotor system comprises the skeleton, composed principally of bone and cartilage, the joints between them, and the muscles which move bones at joints. The skeleton forms a supporting framework for the body and provides the levers to which the muscles are attached to produce movement of parts of the body in relation to each other or movement of the body as a whole in relation to its environment. The skeleton also plays a crucial role in the protection of internal organs. The skeleton is shown in outline in Figure 2.1A. The skull, vertebral column, and ribs together constitute the axial skeleton. This forms, as its name implies, the axis of the body. The skull houses and protects the brain and the eyes and ears; the anatomy of the skull is absolutely fundamental to the understanding of the structure of the head and is covered in detail in Section 4. The vertebral column surrounds and protects the spinal cord which is enclosed in the spinal canal formed by a large central canal in each vertebra. The vertebral column is formed from 33 individual bones although some of these become fused together. The vertebral column and its component bones are shown from the side in Figure 2.1B. There are seven cervical vertebrae in the neck, twelve thoracic vertebrae in the posterior wall of the thorax, five lumbar vertebrae in the small of the back, five fused sacral vertebrae in the pelvis, and four coccygeal vertebrae—the vestigial remnants of a tail. Intervertebral discs separate individual vertebrae from each other and act as a cushion between the adjacent bones; the discs are absent from the fused sacral vertebrae. The cervical vertebrae are small and very mobile, allowing an extensive range of neck movements and hence changes in head position. The first two cervical vertebrae, the atlas and axis, have unusual shapes and specialized joints that allow nodding and shaking movements of the head on the neck. The thoracic vertebrae are relatively immobile. combination of thoracic vertebral column, ribs, and sternum form the thoracic cage that protects the thoracic organs, the heart, and lungs and is intimately involved in ventilation (breathing).

The Axial Skeletons of Sunghir 1, 2, and 3

2014 ◽  
Author(s):  
Erik Trinkaus ◽  
Alexandra P. Buzhilova ◽  
Maria B. Mednikova ◽  
Maria V. Dobrovolskaya
Keyword(s):  
Radiocarbon Dating ◽  
Cervical Vertebrae ◽  
Costal Cartilage ◽  
Lumbar Vertebrae ◽  
Axial Skeleton ◽  
Age At Death ◽  
Vertebral Bodies ◽  
Length Scaling

Given their burial positions, on their backs with the trunks and limbs extended, the Sunghir 1 to 3 individuals should have retained major portions of their axial skeletons. This is the case for Sunghir 2 and 3, both of whom retain all of the cervical vertebrae, most of their thoracic and lumbar vertebrae, and major portions of their sacra. Sunghir 2 preserves portions of 23 of the 24 ribs, and Sunghir 3 retains at least a small piece of each of her 24 ribs. Moreover her left fifth and sixth ribs lack only their costal cartilage surfaces. Only Sunghir 3 preserves any elements of the sternum, two partial and separated sternebral segments. In contrast, despite the apparent presence of major portions of the axial skeleton in situ, little remains of the Sunghir 1 vertebrae, ribs, or sternum. The cervical vertebrae are absent, unless pieces of them are mixed with the collection of what appear to be thoracic and lumbar fragments. Only two vertebrae remain reasonably intact, the T1 and T2. There are eight pieces of vertebral bodies, one of which has a pathological growth (chapter 17). The ribs consist of small pieces, except for a largely intact left first rib. Although evident in the in situ photographs, nothing remains of the manubrium. There is also a piece of distal middle rib, which is of use for the age-at-death assessment. Some of the vertebral and rib pieces have been sacrificed over the years for direct radiocarbon dating (e.g., Kuzmin et al. 2004). Others pieces, heavily fissured and hence probably descending into fragments during excavation, were only partially retained. There are nonetheless a few aspects of the Sunghir axial skeletons, beyond age assessments (chapter 6), the pathological lesions on the Sunghir 1 vertebrae (chapter 17), use of the sacra in the pelves (chapter 14), and body length scaling for Sunghir 2 and 3 (chapter 11), that are of interest.

scholarly journals Transitional cell carcinoma of urinary bladder with metastasis in lumbar vertebrae and spinal cord compression in an ocelot(Leopardus pardalis)

2015 ◽  
Vol 35 (1) ◽  
pp. 75-79 ◽  
Author(s):  
Karen Y.R. Nakagaki ◽  
Pâmela A. Lima ◽  
Kiyoko U. Utiumi ◽  
Marco A.M. Pires ◽  
Rosana Zanatta ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Molecular Weight ◽  
Urinary Bladder ◽  
Transitional Cell Carcinoma ◽  
Cell Carcinoma ◽  
Spinal Cord Compression ◽  
Transitional Cell ◽  
Lumbar Vertebrae ◽  
Cord Compression ◽  
Leopardus Pardalis

This paper reports a case of nonpapillary and infiltrative transitional cell carcinoma (TCC) of the urinary bladder with metastasis of lumbar vertebrae and spinal cord compression in an adult female ocelot (Leopardus pardalis), from the Mato Grosso state, Brazil. The ocelot had pelvic limb paralysis and skin ulcers in the posterior region of the body and was submitted to euthanasia procedure. At necropsy was observed a multilobulated and irregular shaped, yellowish to white nodule in the urinary bladder. The nodule had a soft consistency and arised from the mucosa of the urinary bladder extending throughout the muscular layers and the serosa. Nodules of similar appearance infiltrating the vertebral column the at L6 and L7 vertebrae with corresponding spinal canal invasion were also observed. The histological evaluation showed epithelial neoplastic proliferation in the urinary bladder with characteristics of nonpapillary and infiltrative TCC, with positive immunohistochemical staining for pancytokeratin, and strong immunostaining for cytokeratin of low molecular weight, and weak or absent labeling for high molecular weight cytokeratin. This is the first report of TCC of urinary bladder in ocelot in Brazil.

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