Sequential Magnetic Resonance Imaging Finding of Intramedullary Spinal Cord Abscess including Diffusion Weighted Image: a Case Report.
10.3348/kjr.2011.12.2.241
- Author:
Jae Eun ROH
1
;
Seung Young LEE
;
Sang Hoon CHA
;
Bum Sang CHO
;
Min Hee JEON
;
Min Ho KANG
Author Information
1. Department of Radiology, Chungbuk National University College of Medicine, Chungbuk 361-711, Korea. lsyrad@chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Intramedullary spinal cord abscess;
Magnetic resonance imaging;
Diffusion-weighted imaging
- MeSH:
Abscess/complications/*diagnosis/surgery;
Aged;
Anti-Bacterial Agents/therapeutic use;
Diagnosis, Differential;
Diffusion Magnetic Resonance Imaging;
Drainage;
Humans;
Magnetic Resonance Imaging/*methods;
Male;
Paraplegia/etiology;
Spinal Cord Diseases/complications/*diagnosis/surgery;
Thoracic Vertebrae
- From:Korean Journal of Radiology
2011;12(2):241-246
- CountryRepublic of Korea
- Language:English
-
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.
