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 | *[[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> | ||
*Patients with positive history of any cancer presenting with low back pain should undergo MRI-enhanced imaging. | |||
*Patients | *[[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]] | ||
** | **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
- MRI is preferred diagnostic imaging for spinal cord compression.[1][2][3][4][5]
- Patients with positive history of any cancer presenting with low back pain should undergo MRI-enhanced imaging.
- Epidural abscess is best detected by MRI.
- FIndings include:
- Extradural spinal hematoma
- Abscess or tumor
- Disc rupture
- Spinal cord hemorrhage, contusion or edema.
- Disc extrusion at C5-C6 with compression of the spinal cord, that shows hyperintense signal alterations on T2.
References
- ↑ 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.
- ↑ 2.0 2.1 Coscia M, Leipzig T, Cooper D (1994). "Acute cauda equina syndrome. Diagnostic advantage of MRI". Spine. 19 (4): 475–8. PMID 8178242.
- ↑ 3.0 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.
- ↑ 4.0 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.
- ↑ 5.0 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.