Can you see discitis on MRI?
The most reliable MRI findings in discitis are hyperintensity of the disc on T2-weighted imaging (sensitivity 93%); the presence of paraspinous or epidural inflammation/abscess, (sensitivity 98%); and contrast enhancement of the disc and adjacent bone marrow (sensitivity 95%).
What is discitis of lumbar region?
Discitis, or diskitis, is inflammation that develops between the intervertebral discs of your spine. These discs are located between your vertebrae. The spaces between them are called intervertebral disc spaces. Swelling in these spaces can put pressure on the discs, leading to pain. Discitis is relatively uncommon.
What is discitis of the spine?
Discitis is a disease, as the “itis” would indicate, of infection of the discs between the vertebra of the spine. Like appendicitis, discitis is usually a bacterial infection but may be viral.
Does discitis show on xray?
Frontal and lateral radiographs of the thoracic spine demonstrate destruction of the endplates of two contiguous vertebral bodies with considerable endplate sclerosis, findings characteristic of discitis.
Will an MRI show a spinal infection?
MRI with and without gadolinium contrast enhancement has become the gold standard in identifying spinal infection and assessing the neural elements. MRI allows for visualization of the soft tissues that include the nerves, spinal cord, and paraspinal muscles, and adjacent soft tissue around the spinal column.
What is aseptic discitis?
Aseptic discitis is an uncommon manifestation of ankylosing spondylitis (AS) first described by Andersson in 1937. Destructive lesions of the disk and adjacent vertebral bone occur in the absence of infection or trauma. This pattern is characteristic of AS [1].
Can discitis cause paralysis?
Introduction Discitis is an infection of the intervertebral disc space that can lead to paralysis, sepsis, epidural abscess, or other life-threatening complications if left untreated and may sometimes present with limited laboratory abnormalities to clue a diagnosis.
Can you see discitis on CT?
CT has the ability to detect diskitis earlier than plain radiography does. Findings include hypodensity of the intervertebral disk and destruction of the adjacent endplate and bone (see the image below), with edematous surrounding tissues.
Is Discitis serious?
Although discitis and vertebral osteomyelitis are uncommon conditions, they can produce severe symptoms and affect your quality of life. That’s why diagnosis and treatment as early as possible are so important.
What is pyogenic Discitis?
Introduction. Pyogenic spinal infection is an uncommon disorder encompassing a broad spectrum of diseases including septic spondylodiscitis, osteomyelitis, epidural and paravertebral abscess formation. Presentation can be vague and highly variable but usually includes back pain and fever.