Sequential Magnetic Resonance Imaging Finding of Intramedullary Spinal Cord Abscess including Diffusion Weighted Image: a Case Report
Korean Journal of Radiology
; : 241-246, 2011.
Article
in En
| WPRIM
| ID: wpr-73321
Responsible library:
WPRO
ABSTRACT
Intramedullary spinal cord abscess (ISCA) is a rare infection of the central nervous system. We describe the magnetic resonance imaging (MRI) findings, including the diffusion-weighted imaging (DWI) findings, of ISCA in a 78-year-old man. The initial conventional MRI of the thoracic spine demonstrated a subtle enhancing nodule accompanied by significant edema. On the follow-up MRI after seven days, the nodule appeared as a ring-enhancing nodule. The non-enhancing central portion of the nodule appeared hyperintense on DWI with a decreased apparent diffusion coefficient (ADC) value on the ADC map. We performed myelotomy and surgical drainage, and thick, yellowish pus was drained.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Paraplegia
/
Spinal Cord Diseases
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Thoracic Vertebrae
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Magnetic Resonance Imaging
/
Drainage
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Diffusion Magnetic Resonance Imaging
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Diagnosis, Differential
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Abscess
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Anti-Bacterial Agents
Type of study:
Diagnostic_studies
Limits:
Aged
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Humans
/
Male
Language:
En
Journal:
Korean Journal of Radiology
Year:
2011
Type:
Article