Presentation
Low back pain with hypoesthesia of the lower limbs.
Patient Data
Bilateral L5 pars interarticularis defects in keeping spondylolysis with anterior displacement of the L5 vertebral body on the S1 in keeping with spondylolisthesis grade I according to the Meyerding classification system for grading degree of spondylolisthesis.
Narrowing of the L5-S1 disc space with a low signal on T1, high signal on T2 and STIR with enhancement of the vertebral end-plates (bone marrow edema). Thickening with enhancement of the anterior epidural and prevertebral spaces mainly with small abscesses formation.
Case Discussion
MRI features most consistent with L5-S1 spondylodiscitis in a patient with spondylolisthesis.
The laboratory investigations were positive for Brucellosis.
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