Spinal cord compression MRI: Difference between revisions

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{{CMG}} ; {{AE}} {{ADG}}
{{CMG}} ; {{AE}} {{ADG}}
==Overview==
==Overview==
MRI spine is diagnostic of spinal cord compression. FIndings include extradural spinal hematoma, abscess or tumor, disk rupture, spinal cord hemorrhage, contusion or edema.<ref name="pmid26435794">{{cite journal |vauthors=Magu S, Singh D, Yadav RK, Bala M |title=Evaluation of Traumatic Spine by Magnetic Resonance Imaging and Correlation with Neurological Recovery |journal=Asian Spine J |volume=9 |issue=5 |pages=748–56 |year=2015 |pmid=26435794 |pmc=4591447 |doi=10.4184/asj.2015.9.5.748 |url=}}</ref><ref name="pmid8178242">{{cite journal |vauthors=Coscia M, Leipzig T, Cooper D |title=Acute cauda equina syndrome. Diagnostic advantage of MRI |journal=Spine |volume=19 |issue=4 |pages=475–8 |year=1994 |pmid=8178242 |doi= |url=}}</ref><ref name="pmid15950099">{{cite journal |vauthors=Schmidt GP, Schoenberg SO, Reiser MF, Baur-Melnyk A |title=Whole-body MR imaging of bone marrow |journal=Eur J Radiol |volume=55 |issue=1 |pages=33–40 |year=2005 |pmid=15950099 |doi=10.1016/j.ejrad.2005.01.019 |url=}}</ref>
MRI spine is diagnostic of [[spinal cord compression]]. FIndings include [[Extradural hematoma|extradural spinal hematoma]], [[abscess]] or [[tumor]], disk rupture, [[spinal cord]] [[hemorrhage]], [[contusion]] or [[edema]].<ref name="pmid26435794">{{cite journal |vauthors=Magu S, Singh D, Yadav RK, Bala M |title=Evaluation of Traumatic Spine by Magnetic Resonance Imaging and Correlation with Neurological Recovery |journal=Asian Spine J |volume=9 |issue=5 |pages=748–56 |year=2015 |pmid=26435794 |pmc=4591447 |doi=10.4184/asj.2015.9.5.748 |url=}}</ref><ref name="pmid8178242">{{cite journal |vauthors=Coscia M, Leipzig T, Cooper D |title=Acute cauda equina syndrome. Diagnostic advantage of MRI |journal=Spine |volume=19 |issue=4 |pages=475–8 |year=1994 |pmid=8178242 |doi= |url=}}</ref><ref name="pmid15950099">{{cite journal |vauthors=Schmidt GP, Schoenberg SO, Reiser MF, Baur-Melnyk A |title=Whole-body MR imaging of bone marrow |journal=Eur J Radiol |volume=55 |issue=1 |pages=33–40 |year=2005 |pmid=15950099 |doi=10.1016/j.ejrad.2005.01.019 |url=}}</ref><ref name="pmid28187806">{{cite journal |vauthors=Flanagan EP, Pittock SJ |title=Diagnosis and management of spinal cord emergencies |journal=Handb Clin Neurol |volume=140 |issue= |pages=319–335 |year=2017 |pmid=28187806 |doi=10.1016/B978-0-444-63600-3.00017-9 |url=}}</ref><ref name="pmid19727855">{{cite journal |vauthors=Parizel PM, van der Zijden T, Gaudino S, Spaepen M, Voormolen MH, Venstermans C, De Belder F, van den Hauwe L, Van Goethem J |title=Trauma of the spine and spinal cord: imaging strategies |journal=Eur Spine J |volume=19 Suppl 1 |issue= |pages=S8–17 |year=2010 |pmid=19727855 |pmc=2899721 |doi=10.1007/s00586-009-1123-5 |url=}}</ref>


==MRI Spine==  
==MRI Spine==  
*MRI spine is diagnostic of spinal cord compression.<ref name="pmid28187806">{{cite journal |vauthors=Flanagan EP, Pittock SJ |title=Diagnosis and management of spinal cord emergencies |journal=Handb Clin Neurol |volume=140 |issue= |pages=319–335 |year=2017 |pmid=28187806 |doi=10.1016/B978-0-444-63600-3.00017-9 |url=}}</ref><ref name="pmid26435794">{{cite journal |vauthors=Magu S, Singh D, Yadav RK, Bala M |title=Evaluation of Traumatic Spine by Magnetic Resonance Imaging and Correlation with Neurological Recovery |journal=Asian Spine J |volume=9 |issue=5 |pages=748–56 |year=2015 |pmid=26435794 |pmc=4591447 |doi=10.4184/asj.2015.9.5.748 |url=}}</ref><ref name="pmid8178242">{{cite journal |vauthors=Coscia M, Leipzig T, Cooper D |title=Acute cauda equina syndrome. Diagnostic advantage of MRI |journal=Spine |volume=19 |issue=4 |pages=475–8 |year=1994 |pmid=8178242 |doi= |url=}}</ref><ref name="pmid15950099">{{cite journal |vauthors=Schmidt GP, Schoenberg SO, Reiser MF, Baur-Melnyk A |title=Whole-body MR imaging of bone marrow |journal=Eur J Radiol |volume=55 |issue=1 |pages=33–40 |year=2005 |pmid=15950099 |doi=10.1016/j.ejrad.2005.01.019 |url=}}</ref>
*[[MRI]] is preferred diagnostic imaging for spinal cord compression.<ref name="pmid26435794">{{cite journal |vauthors=Magu S, Singh D, Yadav RK, Bala M |title=Evaluation of Traumatic Spine by Magnetic Resonance Imaging and Correlation with Neurological Recovery |journal=Asian Spine J |volume=9 |issue=5 |pages=748–56 |year=2015 |pmid=26435794 |pmc=4591447 |doi=10.4184/asj.2015.9.5.748 |url=}}</ref><ref name="pmid8178242">{{cite journal |vauthors=Coscia M, Leipzig T, Cooper D |title=Acute cauda equina syndrome. Diagnostic advantage of MRI |journal=Spine |volume=19 |issue=4 |pages=475–8 |year=1994 |pmid=8178242 |doi= |url=}}</ref><ref name="pmid15950099">{{cite journal |vauthors=Schmidt GP, Schoenberg SO, Reiser MF, Baur-Melnyk A |title=Whole-body MR imaging of bone marrow |journal=Eur J Radiol |volume=55 |issue=1 |pages=33–40 |year=2005 |pmid=15950099 |doi=10.1016/j.ejrad.2005.01.019 |url=}}</ref><ref name="pmid28187806">{{cite journal |vauthors=Flanagan EP, Pittock SJ |title=Diagnosis and management of spinal cord emergencies |journal=Handb Clin Neurol |volume=140 |issue= |pages=319–335 |year=2017 |pmid=28187806 |doi=10.1016/B978-0-444-63600-3.00017-9 |url=}}</ref><ref name="pmid19727855">{{cite journal |vauthors=Parizel PM, van der Zijden T, Gaudino S, Spaepen M, Voormolen MH, Venstermans C, De Belder F, van den Hauwe L, Van Goethem J |title=Trauma of the spine and spinal cord: imaging strategies |journal=Eur Spine J |volume=19 Suppl 1 |issue= |pages=S8–17 |year=2010 |pmid=19727855 |pmc=2899721 |doi=10.1007/s00586-009-1123-5 |url=}}</ref>
*MRI is the best initial test when there is incomplete paralysis or CT is inconclusive.  
*Patients with positive history of any cancer presenting with low back pain should undergo MRI-enhanced imaging.   
*Patients who present with a tumor history should undergo MRI-enhanced imaging.   
*[[Epidural abscess]] is best detected by MRI.
*Epidural abscess is best detected by MRI.
*FIndings include:
*FIndings include:
**Extradural spinal hematoma
**Extradural spinal [[hematoma]]
**Abscess or tumor
**[[Abscess]] or [[tumor]]
**Disk rupture  
**Disc rupture  
**Spinal cord hemorrhage, contusion or edema.
**[[Spinal cord]] [[hemorrhage]], [[contusion]] or [[edema]].
 
[[Image:Spincal_cord_compression.gif.gif|center|500px|]]
*Disc extrusion at C5-C6 with compression of the spinal cord, that shows hyperintense signal alterations on T2.


== References ==
== References ==

Latest revision as of 18:48, 18 April 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

MRI spine is diagnostic of spinal cord compression. FIndings include extradural spinal hematoma, abscess or tumor, disk rupture, spinal cord hemorrhage, contusion or edema.[1][2][3][4][5]

MRI Spine

  • Disc extrusion at C5-C6 with compression of the spinal cord, that shows hyperintense signal alterations on T2.

References

  1. 1.0 1.1 Magu S, Singh D, Yadav RK, Bala M (2015). "Evaluation of Traumatic Spine by Magnetic Resonance Imaging and Correlation with Neurological Recovery". Asian Spine J. 9 (5): 748–56. doi:10.4184/asj.2015.9.5.748. PMC 4591447. PMID 26435794.
  2. 2.0 2.1 Coscia M, Leipzig T, Cooper D (1994). "Acute cauda equina syndrome. Diagnostic advantage of MRI". Spine. 19 (4): 475–8. PMID 8178242.
  3. 3.0 3.1 Schmidt GP, Schoenberg SO, Reiser MF, Baur-Melnyk A (2005). "Whole-body MR imaging of bone marrow". Eur J Radiol. 55 (1): 33–40. doi:10.1016/j.ejrad.2005.01.019. PMID 15950099.
  4. 4.0 4.1 Flanagan EP, Pittock SJ (2017). "Diagnosis and management of spinal cord emergencies". Handb Clin Neurol. 140: 319–335. doi:10.1016/B978-0-444-63600-3.00017-9. PMID 28187806.
  5. 5.0 5.1 Parizel PM, van der Zijden T, Gaudino S, Spaepen M, Voormolen MH, Venstermans C, De Belder F, van den Hauwe L, Van Goethem J (2010). "Trauma of the spine and spinal cord: imaging strategies". Eur Spine J. 19 Suppl 1: S8–17. doi:10.1007/s00586-009-1123-5. PMC 2899721. PMID 19727855.

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