AI Article Synopsis
- The study evaluated four patients with spinal epidural sepsis using MR imaging, which showed the lesions most clearly through specific spin-echo techniques.
- Both sagittal and axial images were crucial for determining the lesions' extent, and MR imaging outperformed contrast-enhanced CT in early detection of abscesses.
- Early identification through MR imaging greatly impacted patient management and improved clinical outcomes, supporting previous findings that MR is superior for diagnosing spinal infections.
Article Abstract
Four patients with spinal epidural sepsis were evaluated with MR imaging. The lesions were best visualized with spin-echo techniques with long repetition (2000 msec) and long echo (80-100 msec) times. Sagittal and axial images were equally important in defining the extent of the lesions. Comparison with available contrast-enhanced CT scans showed that MR was more definitive in the early demonstration of the abscesses. This early recognition influenced the management greatly and improved the clinical outcome significantly. The findings in our four cases support previous reports that MR is superior to other imaging methods for early recognition and anatomic localization of infectious diseases in patients suspected of having either spinal osteomyelitis or spinal epidural sepsis.
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| http://dx.doi.org/10.2214/ajr.149.6.1249 | DOI Listing |
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