Paravertebral Muscle Mechanical Properties ... - helvia.uco.es
Vertebral and Paravertebral Diseases - UCSDspinwarp.ucsd.edu/NeuroWeb/PPT/sp-vertebral-45.pdf ·...
Transcript of Vertebral and Paravertebral Diseases - UCSDspinwarp.ucsd.edu/NeuroWeb/PPT/sp-vertebral-45.pdf ·...
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Vertebral and
Paravertebral Diseases
John R. Hesselink, M.D.
Department of Radiology
University of California
San Diego
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Vertebral / Paravertebral Disease
Metastatic disease
Primary bone tumors
Bone marrow disease
Paraspinal tumors
Infection
(Extradural)
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History: 72 y/o man with esophageal CA
Sag T1 Sag T2 T1-Gd-FS
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Breast Metastases
T1 FSE STIR T2 FSE
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History: 28 y/o female with back
pain & urinary incontinence
569
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Dx: Lymphoma
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Dx: Diffuse Breast metastases
History: 64 y/o woman with back pain
547
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Dx: Diffuse Prostate metastases
History: 62 y/o man with back pain
548
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Vertebral Compression
Marrow signal intensity
Signal pattern on T1WIs
Pedicles & posterior elements
Paraspinal mass
Enhancement features
Diffusion properties
Benign vs. Malignant
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Breast Metastases
T1 FSE STIR T2 FSE
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History: 70 y/o woman with back pain
545
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Dx: Renal cell CA
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Traumatic Vertebral Fracture
3 Weeks Ago
LE 1-2
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Benign Vertebral Collapse
LE 3-5
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Biopsy negative for tumor
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Chronic Benign Vertebral Collapse
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Chronic Vertebral Collapse with a Subacute
Endplate Compression
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Acute Vertebral Fracture
T2 FSE
T1 FSE STIR
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Vertebral Body Fracture
T2 FSE
T1 FSE
STIR
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Spinal Metastases
Post Radiation Therapy
TD 40
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Dx: Vertebral Hemangioma 222
History: 62 y/o man with spasms
in the mid-back
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History: 55 y/o man with progressive
leg weakness for 6 months
662 - 2176511
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Dx: Vertebral hemangioma
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Primary Bone Tumors
Osteosarcoma
Chondrosarcoma
Osteoblastoma
Aneurysmal bone cyst
Giant cell tumor
Osteoid osteoma
Eosinophilic granuloma
Vascular tumors
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History: 55 y.o. man
with leg weakness
31
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Dx: Chondrosarcoma
Leg weakness
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Jerry Dwek, Rady Children’s Hospital of San Diego
Osteoblastoma
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History: 11 month male
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Dx: Osteochondroma Marvin Nelson, Children’s Hospital of Los Angeles
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Jerry Dwek, Rady Children’s Hospital of San Diego
Aneurysmal Bone Cyst
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Aneurysmal Bone Cyst
Mark Halsted & Elizabeth Ey, Cincinnati Children’s Hospital
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Jerry Dwek, Rady Children’s Hospital of San Diego
Osteoid Osteoma
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Langerhans Cell Histiocytosis
Jerry Dwek, Rady Children’s Hospital of San Diego
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History: 67 y/o man with sacral pain
with sitting & kneeling
766 – VA7495
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Dx: Sacral chordoma
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History: 41 y.o. female with low
back and buttock pain
67
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Dx: Sacral metastasis -
Breast carcinoma
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Bone Marrow Disease
Metastatic disease
Tumors of blood cell origin
Blood dyscrasias / anemias
Radiation therapy
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History: 65 y/o woman with back pain & progressive
leg weakness & gait problem for 2 months
656
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Dx: Plasmacytoma
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History: 53 y/o woman with back pain &
bilateral foot numbness
692
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Dx: Plasmacytoma &
Multiple myeloma
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Dx: Epidural lymphoma
History: 32 y/o man with back pain
557
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Leukemia
Sag T1 Sag T2 FS T1-FS post contrast
Evelyne Fliszar, UC San Diego
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History: 54 y/o woman with CLL & right foot numbess
773 - 19113240
Sag T2
Sag T1
T1-FS post contrast
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Dx: Anemia of chronic disease
History: 54 y/o woman with chronic lymphocytic
leukemia, anemia, & s/p bone marrow transplant
714
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History: 35 y/o man with chronic
leg ulcer for 4 months
517
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Dx: Staph osteomyelitis
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History: 40 y/o man with worsening
back & abdominal pain for 3 weeks
653
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Dx: TB spine
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History: 50 y/o man with AIDS,
hepatitis B & back pain
578
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Dx: Staph osteomyelitis
& psoas abscesses
{Page 2}
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History: 30 y/o man with neck pain
371
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Dx: IVDA - Staph osteomyelitis
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Cocci Osteomyelitis
CC 1-2
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History: 23 y/o male IVDA who had
an MVA following an overdose
162
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Dx: Staph epidural abscess
{Page 2}
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History: 46 y/o woman developed left arm
pain and difficulty swallowing 1 week post
anterior cervical diskectomy & fusion
595
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Dx: Retropharyngeal abscess
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History: 40 y/o male with fever,
back pain, and a T6 sensory level
423
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Dx: Epidural abscess
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422
History: 73 y/o female with a urinary
tract infection and progressive lower
extremity weakness and hyperreflexia
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Dx: Epidural abscess
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217
History: 68 y/o woman developed leg
weakness following hip surgery
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Dx: Epidural Hemorrhage
(Lab: INA = 3.0)
She also had an epidural catheter
for pain control & was on coumadin
for deep vein thrombosis
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History: 16 y/o male with back pain
since a fall 2 weeks ago
299
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Dx: Subacute epidural
hematoma
Back pain
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History: 43 y/o man with chronic
progressive morning neck pain
386
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Dx: OPLL
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History: 37 y/o man with bilateral leg pain
166
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Dx: Neurofibromatosis, Type 1
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Dx: Abdominal aortic aneurysm
History: 69 y/o woman with back pain
323