Sequential magnetic resonance imaging finding of intramedullary spinal cord abscess including diffusion weighted image: a case report

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 demonstrat...

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Bibliographic Details
Published in:Korean journal of radiology 2011, 12(2), , pp.241-246
Main Authors: Roh, Jae Eun, Lee, Seung Young, Cha, Sang-Hoon, Cho, Bum Sang, Jeon, Min Hee, Kang, Min Ho
Format: Article
Language:English
Subjects:
Abscess - complications
Abscess - diagnosis
Abscess - surgery
Abscesses
Aged
Anti-Bacterial Agents - therapeutic use
Antibiotics
Back pain
Blood
Case Report
Case reports
Diabetes
Diagnosis, Differential
Diffusion Magnetic Resonance Imaging
Drainage
Edema
Epidural
Fever
Humans
Infections
Listeria
Liver cancer
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Meningitis
Metastasis
Paralysis
Paraplegia - etiology
Spinal cord
Spinal Cord Diseases - complications
Spinal Cord Diseases - diagnosis
Spinal Cord Diseases - surgery
Thoracic Vertebrae
방사선과학
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Summary: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.
ISSN:1229-6929
2005-8330
DOI:10.3348/kjr.2011.12.2.241