Spinal stenosis diagnostic study of choice
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
MRI is preferred diagnostic imaging for spinal stenosis. Findings include:The narrowing of the spinal canal, bulging or herniated discs, pinched, inflamed or compressed nerves in the spinal cord, extradural spinal hematoma, abscess or tumor, disk rupture, spinal cord hemorrhage, contusion or edema.
MRI Spine
- MRI is preferred diagnostic imaging for spinal stenosis.[1][2][3][4][5][6]
- 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:[7][8][9][2][3]
- The narrowing of the spinal canal
- Bulging or herniated discs
- Compressed nerves in the spinal cord
- Extradural spinal hematoma
- Abscess or tumor
- 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
- ↑ Alsaleh K, Ho D, Rosas-Arellano MP, Stewart TC, Gurr KR, Bailey CS (2017). "Radiographic assessment of degenerative lumbar spinal stenosis: is MRI superior to CT?". Eur Spine J. 26 (2): 362–367. doi:10.1007/s00586-016-4724-9. PMID 27663702.
- ↑ 2.0 2.1 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.
- ↑ 3.0 3.1 Coscia M, Leipzig T, Cooper D (1994). "Acute cauda equina syndrome. Diagnostic advantage of MRI". Spine. 19 (4): 475–8. PMID 8178242.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ Suthar P, Patel R, Mehta C, Patel N (2015). "MRI evaluation of lumbar disc degenerative disease". J Clin Diagn Res. 9 (4): TC04–9. doi:10.7860/JCDR/2015/11927.5761. PMC 4437133. PMID 26023617.
- ↑ Hughes A, Makirov SK, Osadchiy V (2015). "Measuring spinal canal size in lumbar spinal stenosis: description of method and preliminary results". Int J Spine Surg. 9: 3. doi:10.14444/2008. PMC 4378259. PMID 25834777.
- ↑ Lurie JD, Tosteson AN, Tosteson TD, Carragee E, Carrino JA, Carrino J; et al. (2008). "Reliability of readings of magnetic resonance imaging features of lumbar spinal stenosis". Spine (Phila Pa 1976). 33 (14): 1605–10. doi:10.1097/BRS.0b013e3181791af3. PMC 2754786. PMID 18552677.