This report describes a case of a cervical intervertebral disc hernia with surprising MRI findings suggesting the possibility of an epidural abscess formation
📌 3 Key Takeaways
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Objective & Hypothesis:The differential diagnosis between degenerative and infectious spinal abnormalities can be challenging for neurosurgeons due to the subjectivity of the patient’s symptoms and physical findings, and inconclusive MRI data.
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Key Findings & Data:The differential diagnosis between degenerative and infectious spinal abnormalities can be challenging for neurosurgeons due to the subjectivity of the patient’s symptoms and physical findings, and inconclusive MRI data.
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Conclusion & Impact:This report describes a case of a cervical intervertebral disc hernia with surprising MRI findings suggesting the possibility of an epidural abscess formation
The differential diagnosis between degenerative and infectious spinal abnormalities can be challenging for neurosurgeons due to the subjectivity of the patient’s symptoms and physical findings, and inconclusive MRI data. This report describes a case of a cervical intervertebral disc hernia with surprising MRI findings suggesting the possibility of an epidural abscess formation
Özet
Servikal disk hernisi ve epidural apsenin radyolojik görüntüleri bazen ayrıcı tanımda karışıklığa sebep olabilmektedir. MR bulgularının her iki tanı için de benzerlik göstermesi klinisyen açısından zorluk oluşturmaktadır. Her ikisinin hazırlığı, tedavisi farklı olduğu için ayrıcı tanıda ikisi de düşünülmelidir. Hastanın semptomları, nörolojik muayenesi ve MR bulguları yazıda tanımlanmıştır
Carragee EJ. Pyogenic vertebral osteomyelitis. J Bone Joint Surg Am 1997;79:874–80.
Eguchi Y, Ohtori S, et al. Diffusion magnetic resonance imaging to differentiate degenerative from infectious endplate abnormalities in the lumbar spine. Spine (Phila Pa 1976). 2011;36:E198-202. Hadjipavlou AG, Mader JT, Necessary JT, Muffoletto AJ. Hematogenous pyogenic spinal infections and their surgical management. Spine 2000;25:1668-79.
Manchikanti L, Cash KA, Pampati V, Malla Y. Two-year follow-up results of fluoroscopic cervical epidural injections in chronic axial or discogenic neck pain: a randomized, double-blind, controlled trial. Int J Med Sci 2014;11:309-20.
Wong JJ, Côté P, Quesnele J, Stern P, Mior S. The Course and Prognostic Factors of Symptomatic Cervical Disc Herniation with Radiculopathy: A Systematic Review of the Literature. Spine J 2014;9430. Azizaddini S, Arefanian S, Redjal N, Walcott BP, Mollahoseini R. Adult acute calcific discitis confined to the nucleus pulposus in the cervical spine: case report. J Neurosurg Spine 2013;19:170-3.
Chan WC, Sze KL, Samartzis D, Leung VY, Chan D. Structure and biology of the intervertebral disk in health and disease. Orthop Clin North Am 2011;42:447-64.
Tanaka N, Fujimoto Y, Sumida T, Manabe H, Nakanishi K, Fujiwara Y, Kamei N, Nakamae T, Izumi B, Ochi M. Long-term clinical results of microsurgical transdural discectomy with laminoplasty: follow-up results over 10 years. J Neurosurg Spine 2013;18:653-60. Calderone RR and Larsen JM. Overview and classification of spinal infections. The Orthopedic clinics of North America 1996;27:1-8. Sharif HS. Role of MR imaging in the management of spinal infections. American Journal of Roentgenology 1992;158:1333-1345.
Miyazaki M, Yoshiiwa T, Kodera R, Tsumura H. Clinical features of cervical pyogenic spondylitis and intraspinal abscess. J Spinal Disord Tech 2011;24:E57-61.