Spectrum of MR Imaging Findings in Spinal Tuberculosis

Moorthy, Srikanth; Prabhu, Nirmal Kumar

doi:10.2214/ajr.179.4.1790979

Cited by 153 publications

(105 citation statements)

References 6 publications

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“…2). However, the height of disk space can be preserved until the later stages of the infection [19] or be falsely preserved due to end-plate destruction [1,20,25]. The infection progresses to dissemination into additional spinal segments resulting in the classic pattern of multilevel involvement.…”

Section: S568mentioning

confidence: 99%

“…In addition, single or multiple vertebral involvement preserved disk has been recognized [3,4,[10][11][12][13]19]. It remains unclear whether the multivertebral disease is a consequence of hematogenous dissemination or it is a direct subligamentous, paraspinal or subarachnoid spread disease [20], although subligamentous spread seems most likely [12].…”

Section: Introductionmentioning

confidence: 99%

“…Definitive diagnosis is often difficult because its clinical presentation is indistinct and nonspecific [9,20,21]. Longstanding back pain and constitutional symptoms predominate [2].…”

Section: Introductionmentioning

confidence: 99%

“…The differential diagnosis includes atypical degenerative disk disease, pyogenic and fungal infections, granulomatous diseases as sarcoidosis, deposition diseases, inflammatory and neuropathic spondyloarthropaties and also malignant processes as metastasis or lymphoma [1,5,20,22,24,25].…”

Section: Introductionmentioning

confidence: 99%

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Imaging findings of Pott’s disease

Rivas-Garcia¹,

et al. 2012

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Tuberculosis (TB) continues to be an important public health problem in developed countries especially in deprived socioeconomic groups, older people, immunocompromised patients, drug-therapy resistant cases and the immigrant population. The spine is the most frequent location of musculoskeletal TB. The wide range of clinical presentations results in difficulties and delays in diagnosis. Advanced disease mimics other infections and malignancy. The diagnosis of spinal infections relies on three main factors: clinical symptoms, imaging and bacteriological culture. Advanced imaging such as Magnetic Resonance Imaging (MRI), Multidetector Computed Tomography (MDCT) and Fluor18-Deoxiglucose Positron Emission Tomography combined with CT (F-18 FDG PET-CT) demonstrate lesion extent, serve as guide for biopsy with aspiration for culture, assist surgery planning and contribute to follow-up. Diagnosis of TB cannot be established solely on the basis of clinical tests or imaging findings and biopsy may be required. Differential diagnosis between tuberculous and pyogenic spondylitis is of clinical importance, but may be difficult on the basis of radiological findings alone. Findings not pathognomonic but favoring tuberculous etiology include: slow progression of lesions with late preservation of disk space, involvement of several contiguous segments, large intraosseous and paraspinal abscesses containing calcifications, and body collapse with kyphotic deformity. In this essay the highlights of TB imaging are reviewed through published literature. In addition, we review retrospectively the radiological findings of 48 patients with tuberculous spondylitis treated from 1993 to 2010. There were 23 male and 25 female patients with a mean age of 53 years.

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Section: S568mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Definitive diagnosis is often difficult because its clinical presentation is indistinct and nonspecific [9,20,21]. Longstanding back pain and constitutional symptoms predominate [2].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Imaging findings of Pott’s disease

Rivas-Garcia¹,

et al. 2012

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“…Though TB can have a varied presentation, generally there are irregular hyperintense lesions on T2-weighted images with erosion of the vertebral body and abscess collection around the body either anteriorly or posteriorly or both. 8,9 T1-weighted images of the spine typically show decreased signal within the affected vertebral bodies, loss of disk height, and paraspinal soft-tissue. The presence of a thick rim of enhancement around paraspinal and intraosseous abscesses is reported to be diagnostic of TB spondylitis.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis spinal epidural abscess without osseous involvement: a report of two cases

Prasad

Hospitals

et al. 2017

jcsr

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Spinal epidural abscess (SEA) is a rare but potentially devastating condition. Tuberculosis (TB) as the aetiology of epidural abscess especially without bony the involvement of vertebrae is uncommon. We present here, our experience with two cases where patient had TB SEA without bony involvement. Magnetic resonance imaging (MRI) provided imaging localization. Diagnosis was confirmed by mycobacterial culture and line probe assay. Both patients were managed by decompression and anti-TB treatment.

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Radiological Imaging of Spine Infection

Quintero¹,

Riascos²

2013

Diagnostic Imaging of Infections and Inflammatory Diseases

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Spectrum of MR Imaging Findings in Spinal Tuberculosis

Cited by 153 publications

References 6 publications

Imaging findings of Pott’s disease

Imaging findings of Pott’s disease

Tuberculosis spinal epidural abscess without osseous involvement: a report of two cases

Radiological Imaging of Spine Infection

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