Display options
Cite
Ramadani N, Dedushi K, Kabashi S, et al. Radiologic Diagnosis of Spondylodiscitis, Role of Magnetic Resonance. Acta Inform Med. 2017;25(1):54-57doi: 10.5455/aim.2017.25.54-57.
Ramadani, N., Dedushi, K., Kabashi, S., & Mucaj, S. (2017). Radiologic Diagnosis of Spondylodiscitis, Role of Magnetic Resonance. Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH, 25(1), 54-57. https://doi.org/10.5455/aim.2017.25.54-57
Ramadani, Naser, et al. "Radiologic Diagnosis of Spondylodiscitis, Role of Magnetic Resonance." Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH vol. 25,1 (2017): 54-57. doi: https://doi.org/10.5455/aim.2017.25.54-57
Ramadani N, Dedushi K, Kabashi S, Mucaj S. Radiologic Diagnosis of Spondylodiscitis, Role of Magnetic Resonance. Acta Inform Med. 2017 Mar;25(1):54-57. doi: 10.5455/aim.2017.25.54-57. PMID: 28484299; PMCID: PMC5402372.
Copy Download .nbib Format: NLM
Share it on

Acta Inform Med. 2017 Mar;25(1):54-57. doi: 10.5455/aim.2017.25.54-57.

Radiologic Diagnosis of Spondylodiscitis, Role of Magnetic Resonance.

Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH

Naser Ramadani, Kreshnike Dedushi, Serbeze Kabashi, Sefedin Mucaj

Affiliations

  1. Faculty of Medicine, Pristine University, Pristine City, Kosovo.
  2. National Institute of Public Health of Kosovo, Pristine City, Kosovo.
  3. Department of Radiology, Diagnostic Centre, UCCK, Pristine City, Kosovo.

PMID: 28484299 PMCID: PMC5402372 DOI: 10.5455/aim.2017.25.54-57

Abstract

INTRODUCTION: Study aim is to report the Magnetic Resonance Imaging (MRI) features of acute and chronic spontaneous spondylodiscitis.

CASE REPORT: 57 year old female, complaining of a fever and longstanding cervical pain worsened during physical therapy.

METHODS: MR images were acquired using superconductive magnet 1.5 T, with the following sequences: sagittal PD and T2 TSE, sagittal T1 SE, axial PD and T2 TSE (lumbar spine), axial T2 GRE (cervical spine). Axial and sagittal T1 SE after administration of (gadolinium DTPA). Examination was reviewed by three radiologists and compared to CT findings.

RESULTS: Patient reported cervical pain associated with fever and minimal weight loss. Blood tests were normal except hyperglycemia (DM tip II). X Ray: vertebral destruction localized at C-4 and C-5: NECT: destruction of the C-4/C-5 vertebral bodies (ventral part). MRI: Low signal of the bone marrow on T1l images, which enhanced after Gd-DTPA administration and became intermediate or high on T2 images. The steady high signal intensity of the disk on T2 images and enhancement on T1 images is typical for an acute inflammatory process. Bone Scintigrafi results: Bone changes suspicious for metastasis. Whole body CT results: apart from spine, no other significant changes.

CONCLUSION: MRI is the most sensitive technique for the diagnosis of spondylodiscitis in the acute phase and comparable to CT regarding chronial stage of the disease. The present imagining essay os aimed at showing the main magnetic resonance imaging findings of tuberculous discitis.

Keywords: Bone Scintigrafi; CT; MRI; Spondilodiscitis; X Ray; abces; destruction

Conflict of interest statement

• Conflict of interest: none declared

References

  1. Eur Rev Med Pharmacol Sci. 2012 Apr;16 Suppl 2:8-19 - PubMed
  2. Radiol Clin North Am. 2001 Mar;39(2):203-13 - PubMed
  3. N Engl J Med. 2010 Mar 18;362(11):1022-9 - PubMed
  4. Clin Orthop Relat Res. 2002 May;(398):40-9 - PubMed
  5. J Orthop Surg (Hong Kong). 2011 Dec;19(3):336-40 - PubMed
  6. Case Rep Infect Dis. 2013;2013:843592 - PubMed
  7. Neurosurg Clin N Am. 2006 Jul;17(3):339-51, vii - PubMed
  8. Clin Radiol. 2010 Dec;65(12):974-81 - PubMed
  9. J Anat. 1982 Mar;134(Pt 2):373-82 - PubMed
  10. J Neurol Neurosurg Psychiatry. 1998 Aug;65(2):209-12 - PubMed
  11. Clin Imaging. 1999 May-Jun;23(3):159-67 - PubMed
  12. Iowa Orthop J. 2011;31:219-24 - PubMed
  13. Radiol Clin North Am. 2011 Jan;49(1):105-27 - PubMed
  14. JAMA. 1999 Aug 18;282(7):677-86 - PubMed
  15. Iowa Orthop J. 2006;26:151-3 - PubMed
  16. Arch Intern Med. 1991 Apr;151(4):683-7 - PubMed
  17. South Med J. 2004 Aug;97(8):785-7 - PubMed
  18. Med Mal Infect. 2010 Jan;40(1):6-11 - PubMed
  19. Radiol Clin North Am. 2012 Jul;50(4):777-98 - PubMed
  20. J Antimicrob Chemother. 2010 Nov;65 Suppl 3:iii11-24 - PubMed
  21. Radiol Clin North Am. 2001 Jan;39(1):115-35 - PubMed
  22. Semin Arthritis Rheum. 2009 Aug;39(1):10-7 - PubMed
  23. J Neurosurg. 1991 Jun;74(6):878-86 - PubMed
  24. J Infect. 2008 Jun;56(6):401-12 - PubMed

Publication Types