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At least 199 records · Page 11Linked to original sources
PubMed2005

[Diagnostic imaging of spinal diseases].

With the advent of magnetic resonance imaging, diagnostic accuracy of spinal disorders has been much improved regarding their localization and histological prediction. The location of herniated disc materials is well appreciated on MR images without using contrast materials. MRI can predict the posterior longitudinal ligament is perforated or not. Kinematics of the spinal axis and CSF flow movement is evaluated on MRI with fast imaging. MR angiography with 3D reconstruction depicts the Adamkiewicz's artery and anterior spinal artery. Neuritis and neuropathy can be diagnosed by post-contrast T1 weighted image since inflammatory nerves are thick and enhance. Some intramedullary deseases tend to involve the peripheral area of the spinal cord; others are central. Edema extends longitudinally within the spinal cord by sparing the peripheral margin of the spinal cord and it is well appreciated with the T2- and proton- weighted images. The lateral and posterior funiculi are more frequently involved in multiple sclerosis.

Diffusion Magnetic Resonance Imaging↗
PubMed1988

Gadolinium-DTPA in spinal disease.

The use of paramagnetic contrast agents, in particular, gadolinium-DTPA, holds great promise for the MR evaluation of the spine. However, because of the lack of a previous model for intravenous contrast enhancement in the spine and because of some peculiarities of enhancement of spinal lesions, close attention must be paid to the appropriate uses of contrast in MR of the spine. Gadolinium-DTPA appears to be extremely useful in intradural extramedullary disease and intramedullary disease, but its use in extradural disease may best be restricted to certain specific clinical situations.

Adult↗
PubMed2000

[Neurologic diagnosis of spinal diseases].

The clinical assessment of neurological deficits using a standardized protocol in spinal cord disorders is most important for indicating further neuroradiological, neurophysiological and orthopedic examinations. By neurophysiological technics the clinical examinations can be supplemented not only in patients, who are not able to cooperate. Furthermore the latter technics are able to assess in how far findings in neuroradiological examinations can be related to clinically complained symptoms. The clinical examination should define the spinal level of lesion for motor and sensory function separately and use a semiquantitative scoring system of neurological deficits, which is most relevant for follow-up examinations. Performing motor evoked potentials (MEP), somato-sensory evoked potentials (SSEP) and electromyographic recordings allows to distinguish between lesions of the central and peripheral nervous system and to assess disturbances of spinal cord function.

Diagnosis, Differential↗