DIAGNOSIS OF LUMBAR ARACHNOIDITIS BY MAGNETIC-RESONANCE-IMAGING

被引：47

作者：

DELAMARTER, RB

ROSS, JS

MASARYK, TJ

MODIC, MT

BOHLMAN, HH

机构：

[1] Division of Orthopaedic Surgery, UCLA School of Medicine, Los Angeles, CA

[2] Departments of Radiology, OH

[3] Departments of Orthopaedic Surgery, University Hospitals of Cleveland and Case Western Reserve University School of Medicine, Cleveland, OH

来源：

SPINE | 1990年 / 15卷 / 04期

关键词：

Diagnosis; Lumbar arachnoiditis; Magnetic resonance imaging; Morphology;

D O I：

10.1097/00007632-199004000-00011

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Twenty-four cases of lumbar arachnoiditis were evaluated by magnetic resonance (MR) imaging. The morphologic changes of arachnoiditis by MR were compared in, 20 cases with CT myelography (CTM) and plain film myelography (PFM). An abnormal configuration of nerve roots was seen by MR. Three anatomic groups were identified. Group 1 showed conglomerations of adherent nerve roots residing centrally within the thecal sac. Group 2 demonstrated nerve roots adherent peripherally to the meninges, giving rise to an “empty sac” appearance. Group 3 showed a soft tissue mass replacing the subarachnoid space. Magnetic resonance imaging resulted in accurate diagnosis, and had excellent correlation with CT myelography and plain film myelographic findings in the diagnosis of lumbar arachnoiditis. © Lippincott-Raven Publishers.

引用

页码：304 / 310

页数：7

共 13 条

[1]

Braun I.F., Malko J.A., Davis P.C., Hoffman J.C., Jacobs L.H., The behavior of pantopaque on MR: In vivo and in vitro analyses, AJNR, 7, pp. 997-1001, (1986)

[2]

Burton C.V., Lumbosacral arachnoiditis, Spine, 3, pp. 24-30, (1978)

[3]

Burton C.V., Kirkaldy-Willis W.H., Yong-Hing K., Heithoff K.B., Causes of failure of surgery on the lumbar spine, Clin Orthop, 157, pp. 191-199, (1981)

[4]

Jorgensen J., Hansen P.H., Steenskrov V., Ovesen N., A clinical and radiological study of chronic lower spinal arachnoiditis, Neuroradiology, 9, pp. 139-144, (1975)

[5]

Mamourian A.C., Briggs R.W., Appearance of pantopaque on MR images, Radiology, 158, pp. 457-460, (1986)

[6]

Quencer R.M., Tenner M, Rothman L: The postoperative myelogram, Radiology, 123, pp. 667-679, (1977)

[7]

Quiles M., Marchisello P.J., Tsairis P., Lumbar adhesive arachnoiditis, etiologic and pathologic aspects, Spine, 3, pp. 45-50, (1978)

[8]

Reicher M.A., Gold R.H., Halboch V.V., Et al., MR imaging of the lumbar spine: Anatomic correlations and the effects of technical variations, AJR, 147, pp. 891-898, (1986)

[9]

Ross J.S., Masaryk T.J., Modic M.T., Et al., Magnetic resonance of lumbar arachnoiditis, AJNR

[10]

Simmons J.D., Newton T.H., Arachnoiditis, Computed Tomography of the Spine and Spinal Cord, (1983)

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