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[Imaging findings in 122 cases of Pott's disease].
- Source :
-
Neuro-Chirurgie [Neurochirurgie] 2002 Nov; Vol. 48 (5), pp. 409-18. - Publication Year :
- 2002
-
Abstract
- Spinal tuberculosis is a frequent skeletal involvement in tuberculosis. We report 122 cases between 1983 and 1998 of Pott's disease explored by plain radiographies in all cases, CT-scan in 22 cases and MRI in 6 cases. The lesion involved one localization in 98 cases, two localizations in 9 cases and multiple localizations in 15 cases. The usual form associating the discal and vertebral involvement was noted in 70%. Unusual forms were seen in 30% of the cases The localizations were: posterior arch (20 cases), centrosomatic (10 cases), suboccipital (4 cases) and subligamentar (2 cases). In addition, the CT scan noted vertebral lesion with soft tissue abscess in all cases and epidural lesion in 9 cases. MRI performed in 6 cases showed epidural lesions in 4 cases: epiduritis (2 cases) and abscess (2 cases). The disco-vertebral puncture-biopsy, performed in 12 cases, confirmed the diagnosis in 7 cases. The diagnosis of Pott's disease was confirmed biologically in 30 cases. Radiographic exploration of Pott's disease is improved by the contributions of CT and MRI which can identify sequestra, perilesional sclerosis and epidural or soft tissue abscesses. Discovertebral aspiration biopsy provides the key to diagnosis.
- Subjects :
- Adolescent
Adult
Aged
Biopsy, Needle
Cervical Vertebrae diagnostic imaging
Diagnosis, Differential
Female
Gadolinium
Humans
Longitudinal Ligaments
Lumbar Vertebrae diagnostic imaging
Male
Middle Aged
Osteolysis diagnostic imaging
Osteolysis etiology
Psoas Abscess complications
Psoas Abscess diagnostic imaging
Psoas Abscess pathology
Radiology, Interventional
Radiopharmaceuticals
Retropharyngeal Abscess diagnostic imaging
Retropharyngeal Abscess pathology
Spinal Osteophytosis complications
Spinal Osteophytosis diagnostic imaging
Thoracic Vertebrae diagnostic imaging
Tuberculosis, Spinal complications
Tuberculosis, Spinal diagnostic imaging
Ultrasonography
Cervical Vertebrae pathology
Lumbar Vertebrae pathology
Magnetic Resonance Imaging
Thoracic Vertebrae pathology
Tomography, X-Ray Computed
Tuberculosis, Spinal pathology
Subjects
Details
- Language :
- French
- ISSN :
- 0028-3770
- Volume :
- 48
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Neuro-Chirurgie
- Publication Type :
- Academic Journal
- Accession number :
- 12483119