DILEMMAS IN THE DIAGNOSIS OF DORSALLY SEQUESTERED DISC IN THE THORACIC SPINE AS A RARE CONDITION
Journal
MEDICUS
Date Issued
2021
Author(s)
Antuleska Becheska, Gordana
Abstract
Posterior migration of sequestered disc of thoracic spine is an extremely rare case and can mimics spinal lesions
like tumor, abcess, disc space infection or another space-occupying lesions. Our case is about 54 years old patient,
female, who was admitted to the Neurosurgery Clinic due to severe paraparesis of the lower extremities with
preserved sensitivity. MRI was very effective for the diagnosis of this rare pathological condition. Peripheral rim
enhancement around the nonenhancing disc fragment is typical appearance on contrast MRI for disc fragment.
Using the DWI sequence, we showed that there is no restriction of diffusion, which once again confirmed that
it is not about an inflammation, not a tumor lesion. So, MRI as a diagnostic procedure offers opportunities to
eliminate dilemmas regarding diagnosis in one fell swoop, which is necessary for the timely resolution of the
patient’s condition.
like tumor, abcess, disc space infection or another space-occupying lesions. Our case is about 54 years old patient,
female, who was admitted to the Neurosurgery Clinic due to severe paraparesis of the lower extremities with
preserved sensitivity. MRI was very effective for the diagnosis of this rare pathological condition. Peripheral rim
enhancement around the nonenhancing disc fragment is typical appearance on contrast MRI for disc fragment.
Using the DWI sequence, we showed that there is no restriction of diffusion, which once again confirmed that
it is not about an inflammation, not a tumor lesion. So, MRI as a diagnostic procedure offers opportunities to
eliminate dilemmas regarding diagnosis in one fell swoop, which is necessary for the timely resolution of the
patient’s condition.