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 spine is diagnostic of 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.[1][2][3][4][5]
MRI Spine
- MRI is preferred diagnostic imaging for stenosis.[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.