Articles

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743 results found
Article

Intervertebral foramen

The intervertebral foramina, commonly also called the neural foramina, allow passage of structures out of and into the vertebral canal. Gross anatomy Boundaries anterior: lower posterolateral aspect of a vertebral body and the intervertebral disc below, in the thoracic and lumbar regions. in...
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Lumbosacral transitional vertebra

Lumbosacral transitional vertebrae (LSTV) are a relatively common variant and can be seen in ~25% (range 15-35%) of the general population 1-3. Non-recognition of this variant and/or poor description in the report can lead to operations or procedures performed at the wrong level.  Depending on ...
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Spinal cord tuberculoma

Spinal cord tuberculomas are rare compared to intracranial tuberculomas and can be challenging to diagnose particularly in individuals who are not from endemic areas.  Epidemiology Only 0.2% of central nervous system tuberculosis shows evidence of spinal cord involvement, and among tuberculosi...
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Vertebral body squaring (differential)

Vertebral body squaring refers to the loss of normal concavity of the anterior border of the vertebral body. It is seen in a variety of conditions, some of which are listed below.  Differential diagnosis Ankylosing spondylitis Ankylosing spondylitis is the most common cause of vertebral body ...
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Cervical spine

The cervical spine (often shortened to C-spine) is the upper part of the spine extending from the skull base to the thorax at the level of the first vertebra with a rib attached to it. It normally consists of seven vertebrae. Its main function is to support the skull and maintain the relative po...
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Solitary bone plasmacytoma

Solitary bone plasmacytomas are an uncommon plasma cell tumor which are localized to bone. They may involve any bone, but they have a predisposition for the red marrow-containing axial skeleton: spinal disease is observed in ~50% (range 34-72%) of cases the thoracic vertebrae are most commonly...
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Transpyloric plane

The transpyloric plane, also known as Addison's plane, is an imaginary axial plane located midway between the jugular notch and superior border of pubic symphysis, at approximately the level of L1 vertebral body. It an important landmark as many key structures are visualized at this level, altho...
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Neurenteric canal of Kovalevsky

The neurenteric canal or canal of Kovalevsky is the transient communication of the amnion through notochordal canal to the yolk sac during notochordal formation at day 16-17. Abnormalities during this stage produce the neurenteric cyst spectrum.
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Uncinate process of the cervical spine

The uncinate process of the cervical spine is a hook-shaped process found bilaterally on the superolateral margin of the cervical vertebral bodies of C3-C7. The uncinate processes are more anteriorly positioned in the upper cervical spine and more posteriorly located in the lower cervical spine...
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Anterior sacral meningocele

Anterior sacral meningocele is a congenital defect seen in the anterior aspect of the spine. It is defined as a meningeal cyst that occurs in the presacral space secondary to agenesis of a portion of the anterior sacrum. Pathology Associations In approximately 50% of cases, associated malform...
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Sympathetic nervous system

The sympathetic nervous system (SNS), mediated by the sympathetic chain (trunk) and ganglia, is a major division of the autonomic nervous system. It is composed of general visceral afferent and efferent axons that allow for involuntary control of bodily functions via the hypothalamus.  The over...
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Epidural angiolipoma

Epidural angiolipomas are rare benign tumors composed of mature adipocytes and abnormal vessels.  Epidemiology Epidural angiolipomas are more frequently encountered in women, and typically in middle age (40-50 years of age) 1.  Clinical presentation In keeping with the slow growth of these t...
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Epidural lipomatosis

Epidural lipomatosis refers to an excessive accumulation of fat within the spinal epidural space resulting in compression of the thecal sac. In severe cases, compression may be symptomatic. The lumbar region is most frequently affected. Epidemiology The demographics of affected individuals ref...
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Tabes dorsalis

Tabes dorsalis is a form of tertiary late neurosyphilis in which there is demyelination of the posterior columns of the spinal cord. For a general discussion, and for links to other system specific manifestations, please refer to the article on syphilis.  Clinical presentation Patients presen...
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Facet joint vacuum phenomenon

Facet joint vacuum phenomenon or degenerative intrafacetal gas is a feature that can be seen on spinal imaging in facet joint arthropathy as part of degenerative spondylosis. This is a joint-specific example of the vacuum phenomenon. Radiographic features MRI signal characteristics are those o...
Article

Vertebral artery

The vertebral arteries (VA) are paired arteries, each arising from the respective subclavian artery and ascending in the neck to supply the posterior fossa and occipital lobes, as well as provide segmental vertebral and spinal column blood supply. Summary origin: branches of the 1st part of th...
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Myelomeningocele

Myelomeningocele, also known as spina bifida cystica, is a complex congenital spinal anomaly that results in spinal cord malformation (myelodysplasia).  Epidemiology It is one of the most common congenital CNS anomalies and is thought to occur in approximately 1:500 of live births 5. There may...
Article

Ochronosis

Ochronosis, or alkaptonuria (AKU), is a rare multisystem autosomal recessive metabolic disorder. On imaging, the most particular presentation is on the spine, with osteoporotic bones and dense disc calcifications.  Terminology The term ochronosis usually refers to the bluish-black discolourat...
Article

Bullet-shaped vertebra

Bullet-shaped vertebra, also known as ovoid vertebra, refers to the anterior beaking of the vertebral body. It is seen in the following conditions: mucopolysaccharidosis (Morquio disease, Hurler disease) achondroplasia congenital hypothyroidism progressive pseudorheumatoid dysplasia 4 Wils...
Article

Spinal schwannoma

Spinal schwannomas are benign nerve sheath tumors within the spinal canal, typically arising from spinal nerve roots and it is the most common nerve sheath tumor of spine 11. They are one of the two most common intradural extramedullary spinal tumors, representing 15-50% of such lesions. This a...

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