1. Ann Noelle Poncelet and Andrew P. Rose-Innes
Chapter 22
Neurologic Disorders Associated with Bone and Joint Disease
Ann Noelle Poncelet and Andrew P. Rose-Innes
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FIGURE 22-1 Cervical spondylosis. Sagittal T2-weighted magnetic resonance imaging (MRI) of the cervical spine. Multilevel spondylotic disease with spinal stenosis and signal changes in the spinal cord are indicative of myelopathic injury.
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FIGURE 22-2 Cervical disc disease. Sagittal T2-weighted MRI of the cervical spine. A herniated cervical disc is seen to compress the thecal sac at the C6–C7 level.
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FIGURE 22-3 Degenerative disease of the lumbar spine with spinal stenosis. Sagittal (A) and axial (B) T2-weighted MRI of the lumbar spine. Multilevel discogenic disease is apparent in the lumbar spine on the sagittal view. Disc material is seen compressing the anterior aspect of the thecal sac on the axial image.
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FIGURE 22-4 Paget disease of bone. Axial CT scan of the head with bone windows. The closed arrow shows thickened osteosclerotic bone anteriorly. The open arrow shows thickened hypodense osteolytic bone posteriorly.
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Figure 22-5 Osteomyelitis. Sagittal T1-weighted MRI of the lower thoracic spine, with contrast. A septic focus is seen to involve the intervertebral disc and the two adjacent vertebral bodies. An epidural abscess compresses the thecal sac.
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Figure 22-6 Ankylosing spondylitis. Plain radiograph of lumbosacral spine. The characteristic “bamboo spine” with fusion of the intervertebral ligaments is evident. The arrows show fusion of the sacroiliac joint.
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Figure 22-7 Relapsing polychondritis, illustrating marked auricular swelling and redness.
(From Wang ZJ, Pu CQ, Wang ZJ, et al: Meningoencephalitis or meningitis in relapsing polychondritis: four case reports and a literature review. J Clin Neurosci 18:1608, 2011, with permission.)
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Figure 22-8 Relapsing polychondritis. T2-weighted MRI showing abnormal signal in the left auricle.
From Wang ZJ, Pu CQ, Wang ZJ, et al: Meningoencephalitis or meningitis in relapsing polychondritis: four case reports and a literature review. J Clin Neurosci 18:1608, 2011, with permission.
Copyright © 2014 Elsevier Inc. All rights reserved.