11 dr ahmed esawy imaging oral board of spine imaging part i
TRANSCRIPT
The Art of Radiology
SPINERADIOLOGICAL ANATOMY
Cevical spine
Cervical spine AP view
Cervical spine Lateral
Cervical spine oblique
Atlanto-axial open mouth
Dynamic views
Cervical lines
Sagittal T1
Lumbar spine
P
Whole spine scoliosis
CT lumbar
Axial CT myelography
Axial CT Myelography
Atlas &Axis
brucellosis spine , note the sclerotic behavior
brucellosis spondylodiscitis , low level , associated with marginal
sclerosis
diastematomyelia osseous cleft
dysraphism , lamina defect LV4
EG spine
ependymoma
EG spine
extra extra ...hematoma
extra intra drop metastasis
intra medullary astrocytoma
intra medullary hemangioblastoma
intramedullary metastasis
lipomyelomeningocele ..occult
mylomeningocele
MyxopapillaryEpendymoma
prevertebral discitis , epidural abscess
TB arachnoiditis
tethered cord , diblomyelia
tethered cord , large meningocele
tethered cord , lipoma
brucellosis spine , note the sclerotic behavior
ankylosing spondylitis
brucellosis spondylodiscitis , low level , associated with marginal
sclerosis
diastematomyelia osseous cleft
dysraphism , lamina defect LV4
lemon and banana signs
MORQUI VERTEBRAL BEAKING
os odontoidem , morquo syndrome
extra intra ...schwannoma
NF
NF
DURAL ECTASIA NF1
NF1 , ribbon ribs , notching , apical masses , myodil myelogram
NF1 dural ectasia
NF1 neurofibroma
NF2 cord meningioma and ependymoma
NF brachial plexus
akylosing spondylitis , ulcerative colitis
ankylosing spondylitis , lung fibrosis apical
ankylosing spondylitis , narrowed joints , protrusio acetabule
ankylosing spondylitis aortitis
ankylosing spondylitis amyloidosis, skin , kidney , bowels , sking , tounge
ankylosing spondylitis iritis
ankylosing spondylitis , ivory angle sign
Spondylolysis
Spinal dysraphism
Plain x-ray film showing scoliosis of the cervical spine with vertebral anomalies
Plain abdominal radiograph shows spina bifida occulta of S1.
Plain radiographs show posterior scalloping.
Plain anteroposterior (AP) lumbar spinal radiograph in a 7-year-old patient shows a defect within the laminae of L4-5 and S1 .
Myelograms in a 5-year-old patient show the dorsal region of the spine and an anterior thoracic meningocele. Note the gross dorsal kyphosis.
Myelograms in a 4-year-old patient show the lumbosacral region; a long, tethered cord; and diastematomyelia.
Axial CT scans through the lumbar spine with bone window showing a bony bar due to diastematomyelia.
Axial CT scans through the upper lumbar spine show a split cord.
Coronal reformatted and 3D CT images showing hemi and butterfly vertebral anomalies.
Axial CT scans through the lumbosacral junction shows absence of the posterior spinal elements at L5-S1. Note sclerosis of the laminae and the wide spinal canal.
Tethered Cord
Tethered cord and dermal sinus
Neuro-enteric Cyst
Sagittal MRIs of the lumber spine show diastematomyelia. Note the congenital fusion of L1 and L2.
Axial MRIs in the same patient as in Image above shows a hypointense bar, which is in an anteroposterior location because of diastematomyelia that splits the cord.
Neoplastic disease of spine and spinal cord
Vertebral hemangioma
Vertebral hemangioma
•Primary extradural tumors Vertebral hemangioma
Vertebral hemangioma
Vertebral hemangioma
Vertebral hemangioma
Vertebral hemangioma
Vertebral hemangioma
Vertebral hemangioma
Vertebral hemangioma
Vertebral hemangioma
Osteochondroma
Osteochondroma
Osteochondroma
Osteochondroma
Osteochondroma
Osteoid osteoma
Osteoid osteoma
Osteoid osteoma
Osteoid osteoma
Osteoid osteoma
Osteoblastoma
Osteoblastoma
Osteoblastoma
Osteoblastoma
Osteoblastoma
Aneurismal bone cyst
Aneurismal bone cyst
Aneurismal bone cyst
Aneurismal bone cyst
Aneurismal bone cyst
Aneurismal bone cyst
Giant cell tumor
Giant cell tumor
Giant cell tumor
Giant cell tumor
Giant cell tumor
Giant cell tumor
Giant cell tumor
Giant cell tumor
Giant cell tumor
Giant cell tumor
Sacrococcygeal teratoma
Sacrococcygeal teratoma
Eosinophilic granuloma
Eosinophilic granuloma
Chordoma
Chordoma
Chordoma
Chordoma
Chordoma
Neuroblastoma,ganglioneuroma and ganglionneuroblastoma
neuroblastoma
neuroblastoma
neuroblastoma
ganglioneuroblastoma
ganglioneuroblastoma
ganglioneuroblastoma
Osteosarcoma
Osteosarcoma
Chondrosarcoma
Chondrosarcoma
Chondrosarcoma
Ewing`s sarcoma
Ewing`s sarcoma
Ewing`s sarcoma
Leukemia
Leukemia
Leukemia
Leukemia
Leukemia
Leukemia
Leukemia
Non-hodgkin`s lymphoma
Secondary extradural tumorsMetastatic disease to spine and extradural space
Metastatic disease to spine and extradural space
Metastatic disease to spine and extradural space
Metastatic disease to spine and extradural space
Metastatic disease to spine and extradural space
Metastatic disease to spine and extradural space
Metastatic disease to spine and extradural space
Metastatic disease to spine and extradural space
•Metastatic disease to spine and extradural space
Nerve sheath tumor
Nerve sheath tumor
Nerve sheath tumor
Nerve sheath tumor
Nerve sheath tumor
Nerve sheath tumor
Meningioma
Meningioma
Meningioma
Meningioma
Meningioma
Meningioma
Meningioma
Secondary intradural extramedullary tumors
Spinal leptomeningeal tumor
Spinal leptomeningeal tumor
Spinal leptomeningeal tumor
Astrocytoma
Astrocytoma
Astrocytoma
Astrocytoma
Astrocytoma
Astrocytoma
Astrocytoma
Astrocytoma
Astrocytoma
Ependymoma
Ependymoma
Ependymoma
Ependymoma
Ependymoma
Ependymoma
Ependymoma
Ependymoma
Hemangioblastoma
Hemangioblastoma
Hemangioblastoma
Hemangioblastoma
Hemangioblastoma
Hemangioblastoma
Secondary Intramedullary tumors
Metastatic disease to the cord
Metastatic disease to the cord