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Titolo:
MAGNETIC-RESONANCE-IMAGING OF SPINAL-CANAL ABSCESSES - 5 CASES AND A REVIEW OF THE LITERATURE
Autore:
CONDETTEAULIAC S; LACOUR JC; ANXIONNAT R; BRAUN M; WAGNER M; MORET C; BRACARD S; PICARD L;
Indirizzi:
CHU NANTES,SERV NEURORADIOL DIAGNOST & THERAPEUT NANCY FRANCE CHU NANTES,SERV NEURORADIOL DIAGNOST & THERAPEUT NANCY FRANCE CHU NANTES,SERV NEUROL NANCY FRANCE CHR BON SECOURS,SERV NEUROL METZ FRANCE
Titolo Testata:
Journal of neuroradiology
fascicolo: 3, volume: 25, anno: 1998,
pagine: 189 - 200
SICI:
0150-9861(1998)25:3<189:MOSA-5>2.0.ZU;2-O
Fonte:
ISI
Lingua:
FRE
Soggetto:
CORD ABSCESS; INTRAMEDULLARY ABSCESS; DERMAL SINUS; STREPTOCOCCUS-MILLERI; MRI; SECONDARY;
Keywords:
SPINAL CORD; ABSCESS; INFECTION; MRI;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
36
Recensione:
Indirizzi per estratti:
Citazione:
S. Condetteauliac et al., "MAGNETIC-RESONANCE-IMAGING OF SPINAL-CANAL ABSCESSES - 5 CASES AND A REVIEW OF THE LITERATURE", Journal of neuroradiology, 25(3), 1998, pp. 189-200

Abstract

The spinal canal is an uncommon site for abscess formation resulting from bloodstream disseminated infection. Prognosis is often unfavorable. Rapid treatment is essential for satisfactory neurological recovery. Abscesses within the spinal canal are thus diagnostic and therapeutic emergencies. The neuroifectious and inflammatory manifestations and laboratory findings vary considerably and are insufficient for diagnosis. MRI plays a decisive role. The most commonly reported signs are the presence of an intramedullary collection givning a low-intensity signal on T1-weighted images and a high-intensity signal on T2-weighted images with peripheral contrast uptake and generally extended adjacent medullary edema. We report here five cases of spinal canal abscesses diagnoses with MRT at different stages of development (presupperative myelitis in two cases, constituted abscess in three cases). For each case we reviewed the;clinical course and describe the details of the imaging findings. In our series, the collected abscesses presented as round lesions within the canal with contrast uptake. It is noteworthy that the periependymal gray platter adjacent to the lesion also took up the contrast agent in all patients with a collected abscess. This sign has not been described previously and appears to be a goog argument orienting the diagnosis towards an infectious rather than tumoral formation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/07/20 alle ore 23:34:44