MRI of spinal epidural lymphoma

We reviewed the MRI features in eight patients with spinal epidural lymphoma (clinically primary in 4 patients); one patient had multiple lesions. The cervical spine was involved in one patient, the thoracolumbar spine in 5 and the sacrum in two. Mean longitudinal extension of the epidural lesion wa...

Full description

Saved in:
Bibliographic Details
Published in:Neuroradiology 1995-05, Vol.37 (4), p.303-307
Main Authors: MASCALCHI, M, TORSELLI, P, FALASCHI, F, DAL POZZO, G
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Epidural Neoplasms - diagnosis
Female
Hematologic and hematopoietic diseases
Hodgkin Disease - diagnosis
Humans
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphoma - diagnosis
Lymphoma, Non-Hodgkin - diagnosis
Magnetic Resonance Imaging
Male
Medical sciences
Spinal Cord - pathology
Spine - pathology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We reviewed the MRI features in eight patients with spinal epidural lymphoma (clinically primary in 4 patients); one patient had multiple lesions. The cervical spine was involved in one patient, the thoracolumbar spine in 5 and the sacrum in two. Mean longitudinal extension of the epidural lesion was 2.6 vertebral segments. The tumours were homogeneously isointense with the spinal cord on T1-weighted images and isointense or hyperintense on proton-density and T2-weighted images. The spinal cord was compressed in four patients but showed signal changes in only one. In five patients the lesions communicated through the intervertebral foramina with paravertebral soft tissue masses. In all but one of the patients diffuse signal changes in the vertebral body marrow consistent with osteolytic or osteoblastic changes were identified adjacent to or at distance from the epidural lesion. Vertebral collapse was observed in two patients.
ISSN:0028-3940
1432-1920
DOI:10.1007/BF00588341