[Distension of the inter-facet joints in MRI: and indirect sign of an existing underestimation of spondylolisthesis and canal stenosis].

Journal belge de radiologie Pub Date : 1998-12-01
P Mailleux, J P Ghosez, P Bosschaert, S Malbecq, B Coulier, P Booschaert
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引用次数: 0

Abstract

The authors present two observations of degenerative spondylolisthesis causing canal stenosis in which the stenosis was not apparent on MRI examination, due to reduction of spondylolisthesis in the supine position. In these cases, MR images of the facet joints showed unusual large areas with hypersignal on T2 weighted images suggestive of fluid collection. Observation of such images on supine MRI images should raise the suspicion of a spondylolisthesis existing on standing examination but reduced by the supine position, possibly leading to underestimating the canal stenosis.

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[MRI显示关节突间关节肿胀:是对滑脱和椎管狭窄存在低估的间接迹象]。
作者提出了两例退行性椎体滑脱引起椎管狭窄的观察结果,其中由于仰卧位椎体滑脱的减少,在MRI检查中狭窄不明显。在这些病例中,小关节的MR图像在T2加权图像上显示异常的大面积高信号,提示积液。在仰卧位MRI图像上观察到此类图像应引起直立检查时存在脊椎滑脱的怀疑,但由于仰卧位而减轻,可能导致低估椎管狭窄。
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