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Spine and Spinal Cord Disorders

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Diagnostic Neuroradiology
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Abstract

Incidence of spinal cord tumours compared with organic lesions of the CNS varies from 1.98 to 3%, and compared with brain tumour cases is less than 15% of CNS lesions (Nikolsky 1947; Razdolsky 1958; Manelfe 1992). For many years, myelography (first applied in 1923) has been considered one of the principal imaging modalities for diagnosis of spinal pathology. In the early 1980s, its place was overtaken by CT and its modification, CT myelography with soluble contrast medium. This permitted, on the one hand, reducing the rate of complications and, on the other hand, significantly improving the quality of primary diagnosis of spinal cord lesions. It is mainly used for extramedullary tumours (Aubin 1979; Post 1980; Haughton 1982).

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References

  • Ahadov T, Panov V, Ihoff U (2000) Magnetic-resonance tomography of spine and spinal cord. Medicine, Moscow, p 748 (in Russian)

    Google Scholar 

  • Akeson P et al (1994) Radiological investigation of neurofibromatosis type 2. Neuroradiol 36:107–110

    Article  CAS  Google Scholar 

  • Aoki J et al (1991) MR enchondroma and chondrosarcoma: Rings and arcs of Gd-DTPA enhancement. J Comput Assist Tomogr 15:1011–1016

    Article  PubMed  CAS  Google Scholar 

  • Aubin ML, Jardin C, Bar D et al (1979) Computerised tomography in 32 cases of intraspinal tumor. Neuroradiology 681–92

    Google Scholar 

  • Awwad EE, Backer R (1987) The imaging of an intraspinal cervical dermoid tumor by MR, CT and sonography. Comput Radiol 11:169–173

    Article  PubMed  CAS  Google Scholar 

  • Babchin IS (1962) [Chap. 1, Tumors of spinal cord.] In: Petrov NN, Kholdin SA (eds) [Malignant tumours, vol 3.] Medicine, Leningrad, pp 510–552 (in Russian)

    Google Scholar 

  • Baker L, Goodman S, Perkash I (1990) Benign versus pathologic compression fractures of vertebral bodies: assessment with conventional spin-echo, chemical-shift, and STIR MRI. Radiology 174:495–502

    PubMed  CAS  Google Scholar 

  • Ball W (1997) Pediatric neuroradiology. Lippincott-Raven, Philadelphia, p 789

    Google Scholar 

  • Bandiera S et al (2002) Symptomatic vertebral haemangioma: the treatment of 23 cases and a review of literature. Chir Organi Mov 87:1–15

    PubMed  CAS  Google Scholar 

  • Barkovich A (1996) Pediatric neuroradiology. Lippincott-Raven, Philadelphia, p 668

    Google Scholar 

  • Barkovich A (2000) Pediatric neuroimaging, 3rd edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Baudrez V et al (2001) Benign vertebral haemangioma: MR histological correlation. Skeletal Radiol 30:442–446

    Article  PubMed  CAS  Google Scholar 

  • Biagini R et al (2001) Osteoid osteoma and osteoblastoma of the sacrum. Orthopedics 24:1061–1064

    PubMed  CAS  Google Scholar 

  • Bluemke D, Wang H (1990) Primary spinal cord lymphoma: MR appearance. J Comput Assist Tomogr 14:812–814

    Article  PubMed  CAS  Google Scholar 

  • Boisserie-Lacroix M, Kien P, Caille J (1987) Imaging of intradural extramedullary tumours: neurinomas and meningiomas. J Neuroradiol 14:66–81

    PubMed  CAS  Google Scholar 

  • Boriani S et al (1992) Osteoblastoma of the spine. Clin Ortho Rel Res 278:37–45

    Google Scholar 

  • Brant-Zawadzki M, Norman D (1987) MRI of the central nervous system. Raven, New York

    Google Scholar 

  • Carsin M, Gandon Y (1987) Rolland MRI of the spinal cord: intramedullary tumours. J Neuroradiol 14:337–349

    PubMed  CAS  Google Scholar 

  • Coates LS et al (2008) Real life experience confirms sustained response to long-term biologics and switching in ankylosing spondylitis. Reumatology (Oxford) 47:897–900

    Article  CAS  Google Scholar 

  • Collie D et al (1999) Imaging features of leptomeningeal metastasis. Clin Radiol 54:765–771

    Article  PubMed  CAS  Google Scholar 

  • Conti P et al (2004) Spinal neurinomas: retrospective analysis and long-term outcome of 179 consecutively operated cases and review of literature. Surg Neurol 61:34–43

    Article  PubMed  Google Scholar 

  • Crasto et al (1997) MRI diagnosis of intramedullary metastases from extra-CNS tumors- Eur Radiol 7:732–736

    Article  PubMed  CAS  Google Scholar 

  • Dahlin D, Unni K (1986) Bone tumours: general aspects and data on 8,542 cases, 4th edn. Thomas C. Thomas, Springfield, Ill.

    Google Scholar 

  • DeLaPaz R et al (1985) High field thin-slice surface coil MRI of spine and spinal cord. Science of MR in Medicine, 4th annual meeting, London, UK

    Google Scholar 

  • Djindjian M, Hurth M, Houdart R (1970) Angiography of the spinal cord. University Park Press, Baltimore

    Google Scholar 

  • Dorfman HD et al (1998) Bone tumours, 1st edn. Mosby, St. Louis, pp 353–440

    Google Scholar 

  • Epstein F, Epstein N (1982) Intramedullary tumors of the spinal cord. Pediatric neurosurgery: surgery of the developing nervous system. Grune & Stratton, New York, pp 529–540

    Google Scholar 

  • Erly, Oh E, Outwater E (2006) The utility of in-phase imaging in differentiating malignancy from acute benign compression fractures of spine. AJNR Am J Neuroradiol 27:1183–1188

    PubMed  CAS  Google Scholar 

  • Formaglio F et al (1998) Meningeal metastases: clinical aspects and diagnosis. Ital J Neurol Sci 19:133–149

    Article  PubMed  CAS  Google Scholar 

  • Fruhling J (1986) Radiology of the spine: tumors. In: Jeanmart L (ed) Tumors. Springer, Berlin Heidelberg New York, pp 103–115

    Google Scholar 

  • Gilbert R, Kim J, Posner J (1978) Epidural spinal cord compression from metastatic tumor: diagnosis and treatment. Ann Neurol 3:40–51

    Article  PubMed  CAS  Google Scholar 

  • Gomori J et al (1998) Leptomeningeal metastases: evaluation by gadolinium enhanced spinal magnetic resonance imaging. J Neurooncol 36:55–60

    Article  PubMed  CAS  Google Scholar 

  • Grem J, Burgess J, Trump D (1985) Clinical features and natural history of intramedullary spinal cord metastases. Cancer 56:2305–2314

    Article  PubMed  CAS  Google Scholar 

  • Habirov FA (2003) [Clinical neurology of spine.] Methodical Textbooks, Kazan, Russia (In Russian)

    Google Scholar 

  • Haughton V, Williams A (1982) Computed tomography of the spine. Mosby, St. Louis

    Google Scholar 

  • Huk W, Gademann G, Friedmann G (1990) Magnetic resonance imaging of central nervous system diseases. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Ilaslan H et al (2004) Primary vertebral osteosarcoma: imaging findings. Radiology 230:697–702

    Article  PubMed  Google Scholar 

  • Jeanmart I (1986) Radiology of the spine: tumours. Springer, Berlin Heidelberg New York, pp 118

    Google Scholar 

  • Kallmes D, Gray L, Glass J (1998) High-dose gadolinium-enhanced MRI for diagnosis of meningeal metastases. Neuroradiology 40:23–26

    Article  PubMed  CAS  Google Scholar 

  • Khong PL et al (2003) MR imaging of spinal tumours in children with neurofibromatosis I. AJR Am J Radiol 180:413–417

    Google Scholar 

  • Kleihues P, Sobin LH (2000) World Health Organization classification of tumors Cancer. 88:2887

    Article  PubMed  CAS  Google Scholar 

  • Koenig E, Thron A, Schrader V (1989) Spinal arteriovenous malformations and fistulae: clinical, neuroradiological and neurophysiological findings. J Neurol 236:260–266

    Article  PubMed  CAS  Google Scholar 

  • Koenig M et al (1989) Spinal arteriovenous malformations and fistulae: clinical, neuroradiological and neurophysiological findings. J Neurol 236:260–266

    Article  PubMed  CAS  Google Scholar 

  • Kricun R, Kricun M (1994) (eds). MRI and CT of the spine. Case study approach. Raven, New York, p 392

    Google Scholar 

  • Larson TC III, Houser OW, Onofrio BM, Piepgras DG (1987) Primary spinal melanoma. J Neurosurg 66:47-49

    PubMed  Google Scholar 

  • Lemort M, Divano L, Jeanmart L (1986) Radiology of the spine: tumors. In: Jeanmart L (ed) Tumors. Springer, Berlin Heidelberg New York, pp 81–101

    Google Scholar 

  • Levy W et al (1982) Spinal cord meningioma. J Neurosurg 57:804–812

    PubMed  Google Scholar 

  • Libzshitz H et al (1992) Multiple myeloma: Appearance at MR imaging. Radiology 182:833–837

    Google Scholar 

  • Liu P et al (2003) Imaging of osteoid osteoma with dynamic gadolinium-enhanced MR imaging. Radiology 227:691–700

    Article  PubMed  Google Scholar 

  • Lonergan G et al (2002) Neuroblastoma, ganglioneuroblastoma and ganglioneuroma: radiologic-pathologic correlation. Radiographics 22:911–934

    PubMed  Google Scholar 

  • Mahnken A et al (2002) Multidetector CT of the spine in multiple myeloma: comparison with MR imaging and radiography. AJR Am J Radiol 178:1429–1436

    CAS  Google Scholar 

  • Manelfe C (1992) Imaging of the spine and spinal cord. Raven, New York, p 890

    Google Scholar 

  • Mironov S, Morozov A, Belyaeva A et al (2004) X-ray diagnostics of the primary tumours and tumour-like disorders of spine. Medicine, Moscow, p 248 (in Russian)

    Google Scholar 

  • Miyasaka K, Akino M, Abe S, Isu T, Iwasaki Y, Abe H (1986) Computed tomography and magnetic resonance imaging of intramedullary spinal cord tumors. Acta Radiol 369:738–40

    CAS  Google Scholar 

  • Modic M, Pavlicek W, Weinstein M (1984) MRI of intervertebral disk disease. Radiology 152:103–111

    PubMed  CAS  Google Scholar 

  • Modic M, Masaryk T (1988) Degenerative disk disease. In: Stark D, Bradley W (eds) Diagnostic radiology: categorical course in MRI. North American Tower Books, Oak Brook, Ill, pp 625–708

    Google Scholar 

  • Modic M, Masaryk T, Roos J (1989) MRI of the spine. Year Book Medical, New York, p 870

    Google Scholar 

  • Morikawa M et al (1995) Osteohondroma of the cervical spine: MR findings. Clin Imaging 19:275–278

    Article  PubMed  CAS  Google Scholar 

  • Mortimer N, Hughes D, O’Byrne KJ (2001) Intramedullary spinal cord metastasis. Lancet Oncol 2:607

    Article  PubMed  CAS  Google Scholar 

  • Murphey M et al (1996) Primary tumours of spine: Radiologic-pathologic correlation. Radiographics 16:1131–1158

    PubMed  CAS  Google Scholar 

  • Murphey M et al (2000) Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation. Radiographics 20:1407–1434

    PubMed  CAS  Google Scholar 

  • Murphy J et al (1998) CT and MRI appearances of thoracic chordoma. Eur Radiol 8:1677–1679

    Article  PubMed  CAS  Google Scholar 

  • Naderi S (2000) Spinal meningiomas. Surg Neurol 54:95

    Article  PubMed  CAS  Google Scholar 

  • Nikolsky VA (1947) [Primary intravertebral tumors. Clinics, pathology, surgery.] Feniks, Rostov-na-Donu, Russia (In Russian)

    Google Scholar 

  • Norman D, Brant-Zawadzki M (eds) (1987) The spine: MRI of the CNS. Raven Press, New York

    Google Scholar 

  • Paillas J, Alliez B, Pellet W (1976) Primary and secondary tumors of the spine. In: Vinken P, Bruin G (eds) Handbook of clinical neurology, vol 2, pt. 2. North-Holland, Amsterdam 19–54

    Google Scholar 

  • Parizel P, Baleriaux D, Rodesch G (1989) Gd-DTPA enhanced MRI of spinal tumours. AJR Am J Radiol 152:1087–1096

    CAS  Google Scholar 

  • Pastushyn A et al (1998) Vertebral haemangiomas: diagnosis, management. Natural history and clinicopathological correlates in 86 patients. Surg Neurol 50:535–547

    Article  PubMed  CAS  Google Scholar 

  • Pear B (1974) Skeletal manifestations of the lymphomas and leukemias. Semin Roentgenol 9:229–240

    Article  PubMed  CAS  Google Scholar 

  • Pedersen OB et al (2008) Ankylosing spondylitis in Danish and Norwegian twins: occurrence and the relative importance of genetic vs. environmental effectors in disease causation. Scand J Rheumatol 37:120–1126

    Article  PubMed  CAS  Google Scholar 

  • Porter B, Shields A, Olson D (1986) MRI of bone marrow disorders. Radiol Clin North Am 24:1131–1135

    Google Scholar 

  • Post MJ (ed) (1984) CT of the spine. Williams & Wilkins, Baltimore, p 659–695

    Google Scholar 

  • Radcliffe S et al (1998) Osteoid osteoma: the difficult diagnosis. Eur J Radiol 28:67–79

    Article  PubMed  CAS  Google Scholar 

  • Rallmes D et al (1998) High dose gadolinium-enhanced MRI for diagnosis of meningeal metastases. Neuroradiology 40:23–26

    Article  Google Scholar 

  • Raskas D et al (1992) Osteoid osteoma and osteoblastoma of the spine. J Spinal Disord 5:204–211

    Article  PubMed  CAS  Google Scholar 

  • Razdolsky I (1958) [Tumors of spinal cord and spine.] Foliant, Leningrad (In Russian)

    Google Scholar 

  • Ross J, Masaryk T, Modic M (1987) Postoperative cervical spine: MR assessment. J Comput Assist Tomogr 11:955–962

    Article  PubMed  CAS  Google Scholar 

  • Scott G (1992) Neuroradiological diagnosis of spinal cord tumors. In: Harwood Nash DC, Pettersson H (eds) Neuroradiology. Mosby, St. Louis

    Google Scholar 

  • Shiff D et al (1996) Intramedullary spinal cord metastases: clinical features and treatment outcome. Neurology 47:906–912

    Google Scholar 

  • Shives T, Dahlin D, Sim F (1986) Osteosarcoma of the spine. J. Bone Joint Surg 68:660–668

    PubMed  CAS  Google Scholar 

  • Shutte H et al (1993) Giant cell tumor in children and adolescents. Skeletal Radiol 22:173–176

    Google Scholar 

  • Siegel M et al (2002) Staging of neuroblastoma at imaging: report of the radiology diagnostic oncology group. Radiology 223:168–175

    Article  PubMed  Google Scholar 

  • Singh S et al (2002) MR imaging of leptomeningeal metastasis: comparison of three sequences. AJNR Am J Neuroradiol 23:817–821

    PubMed  Google Scholar 

  • Skorometz A, Tissen T, Panyushkin A, Skorometz T (1998) Vascular disorders of the spinal cord. SOTIS, St. Petersburg, p 526 (in Russian)

    Google Scholar 

  • Solero C et al (1989) Spinal meningiomas: Review of 174 operated cases. Neurosurgery 125:153–150

    Article  Google Scholar 

  • Solomon A, Rahamani R, Seligsohn U et al (1984) Multiple myeloma: early vertebral involvement assessed by computerised tomography. Skeletal Radiol 11:258–261

    PubMed  CAS  Google Scholar 

  • Stark D, Bradley W (1988) Magnetic resonance imaging. Mosby, St. Louis, p 1516

    Google Scholar 

  • Sugimura K, Yamasaki K, Kitagaki H et al (1987) Magnetic resonance imaging of the spine-differentiation by T 1 and T 2 relaxation times. Nippon Igaku Hoshasen Gakkai Zasshi 47:714–21

    PubMed  CAS  Google Scholar 

  • Sze G, Krol G, Zimmerman R (1988) Intramedullary disease of the spine: diagnosis using Gd-DTPA-enhanced MRI. AJR Am J Radiol 151:1193–1204

    CAS  Google Scholar 

  • Taitz J et al (2004) Osteochondroma after total body irradiation: an age-related complication. Pediatr Blood Cancer 42:225–229

    Article  PubMed  Google Scholar 

  • Thijssen H, Keysen A, Hortink M et al (1979) Morphology of the cervical spinal cord on computed myelography. Neuroradiology 18:57–62

    Article  PubMed  CAS  Google Scholar 

  • Tissen T (2006) [Endovascular treatment of arteriovenous malformations of the spinal cord.] Medicine, Moscow, 357 (in Russian)

    Google Scholar 

  • Twersky J, Kassner E, Tenner M, et al (1975) Vertebral and costal osteochondromas causing spinal cord compression. Am J Roentgenol Radium Ther Nucl Med 124:124–128

    PubMed  CAS  Google Scholar 

  • Twersky J et al (1975) Vertebral and costal osteochondromas causing spinal cord compression. Am J Roentgenol Radium Ther Nucl Med 124:124–128

    PubMed  CAS  Google Scholar 

  • Valk J (1988) Gd-DTPA in MRI of spinal lesions. AJR Am J Radiol 150:1163–1168

    CAS  Google Scholar 

  • Wahl R (2001) Current status of PET in breast cancer imaging, staging, and therapy. Semin Roentgenol 36:250–260 (review)

    Article  PubMed  CAS  Google Scholar 

  • Winkelman M et al (1987) Intramedullary spinal cord metastases. Diagnostic and therapeutic considerations. Arch Neurol 44:526–531

    PubMed  CAS  Google Scholar 

  • Youmans J (1982) Neurological surgery. Saunders, Philadelphia

    Google Scholar 

  • Woodruff J et al (2000) Schwannoma. In: Kleihues P, Cavanee W (eds), Tumours of the nervous system. IARC Press, Lyon, pp 176–184

    Google Scholar 

  • Zimmerman R, Bilaniuk L (1988) Imaging of tumours of the spinal canal and cord. Radiol Clin North Am 26:965–1007

    PubMed  CAS  Google Scholar 

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(2009). Spine and Spinal Cord Disorders. In: Diagnostic Neuroradiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-75653-8_15

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