Devoted to diagnostic and interventional spine imaging and therapeutics


Non-Neoplastic, Non-Traumatic Pathologies Of The Cervical Spine. What Needs To Be Known In Order To Avoid Erroneous Diagnosis 2014

Category General Spine Ammar Taha, MD Udaykamal Barad, MD Juan G. Tejada, MD Purpose 1.Describe imaging features of various non-neoplastic, non-traumatic pathologies of the cervical spine. 2. Role of different modalities to illustrate pertaining findings in various pathologies 3. Discuss clinical presentation, pathophysiology and treatment options of these pathologies. Materials & Methods We present several didactic cases obtained, using our institution search engine (DORIS), highlighting classic radiological signs of various Non-neoplastic, non-traumatic pathologies of the cervical spine. Examples include: Subacute combined degeneration of the cervical spinal cord, arteriovenous malformations/fistulas , cervical spine manifestations of intracranial hypotension, cervical spine sarcoidosis, demylinating disease and transverse militias. Results Magnetic resonance imaging (MRI) of the cervical spine is commonly performed for evaluation of cervical pain, radiculopathy, and myelopathy. It is also essential tool in detection of non-neoplastic, non-traumatic pathologies. Other imaging modalities includes cetheter angiography and myelogram. Conclusion The majority of non-neoplastic, non-traumatic pathologies of the cervical spine are treatable causes of myelopathy. Early detection, adequate mapping and classification resulting in a timely management are keys to prevent irreversible deficits. Awareness of imaging findings and treatment options for each category is helpful for proper patient management. References 1. Babior BM, Bunn HF. Megaloblastic anemias. In: Isselbacher KJ, Braunwald E, Wilson JD, et al, eds. Harrison’s Principles of Internal Medicine. 13th ed. New York, NY: McGraw-Hill; 1994:1726-1732. 2. Samuels MA. Neurologic effects of malabsorption and vitamin deficiency. In: Samuels MA, Feske S, eds. Office Practice of Neurology. New York, NY: Churchill Livingston; 1996:1009-1013. 3. Harper C, Butterworth R. Nutritional and metabolic disorders. In: Graham DI, Lantos PL, eds. Greenfield’s Neuropathology. New York, NY: Oxford University Press; 1997:621-624. 4. Ravina B, Loevner LA, Bank W. MR findings in subacute 5. Ito O, Ido K, Ishido K, Hitotsumatsu T. Usefulness of dynamic MRA and CTA in diagnosis and postoperative evaluation in spinal dural arteriovenous fistula: a case report. No Shinkei Geka 2012 Feb;40(2):173-180. 6. Bostroem A, Thron A, Hans FJ, Krings T. Spinal vascular malformations--typical and atypical findings. Zentralbl Neurochir 2007 Nov;68(4):205-213. combined degeneration of the spinal cord: A case of  (note: text was cut off here in the original document)