Reactive epieurithis and spinal arachnoiditis in intervertebral hernias and their MRI-diagnostics
Abstract
The article highlights the main issues on the diagnostics of reactive epidurites revealed in MR-visualization of intervertebral hernia. The conditions in which the pathology mentioned above is marked when performing MRI are set forth. The pathophysiological processes occurring in the epidural space in the acute hernia disk stage are described. The key terminology interpretation used in this process is given. The information concerning the possible complications in the presence of epidurites after the acute stage of intervertebral hernia is presented. The causes and symptoms of spinal aseptic arachnoiditis developing after the intervertebral hernia surgery are shown. The aspects of differential diagnostics of the presented pathology in combination with infectious and oncological injuries are demonstrated. The illustrative material is presented.
About the Authors
I. A. Lebedev
Tyumen State Medical University
Russian Federation
Russian Federation
A. V. Kholin
North-Western State Medical University n.a. I.I. Mechnikov
Russian Federation
Russian Federation
A. O. Rusalkina
LDC Co
Russian Federation
Russian Federation
O. A. Rakhmanina
Tyumen State Medical University
Russian Federation
Russian Federation
E. V. Beznosov
Tyumen State Medical University
Russian Federation
Russian Federation
A. A. Drachenina
Tyumen State Medical University
Russian Federation
Russian Federation
References
1. Alihan Derincek, Metin Uzalay, Orhan Seen, Aysein Pourbagher. Posterior epidural mass: can a posteriorly migrated lumbar disc fragment mimic tumour, haematoma or abscess? A case report. Acta Orthop. Belg., 2009, 75, 423-427.
2. Dr. Sarah Smith (nee Andreae-Jones) MB., BS. Adhesive arachnoiditis. (USA) March. 2001.
3. Tara L. Sabby, MD., Jonathan M. Morris, MD., John T. Wald, MD., Amy L. Kotsenas, MD. Imaging Appearance of Adhesive Arachnoiditis: A Retrospective Review. 2014. Category-General Spine.
4. Кардаш А. М., Черновский В. И., Васильев C. B., Васильева Е.Л., Козинский А. В. Клиника, дифференциальная диагностика и патогенез развития компрессионного рубцово-спаечного эпидурита в послеоперационном периоде после удаления грыжи дисков поясничного отдела позвоночника. УДК 616.711.5-089. Международным неврологический журнал. 2011. - № 2 (40).
5. Серов В. В., Шахтер А. А. Соединительная ткань. Функциональная морфология и общая патология. - М: Медицина, 1981. - 312 с.
6. Dr Sarah Smith.The Arachnoiditis Syndrome. December. 1998.
7. I. Rice. M.Y.K. Wee, K. Thomson. Chronic adhesive arachnoiditis. British Journal of Anaesthesia 2004. - 93 (2): 301-3077.
8. Dr Sarah Fox MB BS PGDip Pain Man - 2011. Prognosis of Arachnoiditis. 13 February 2011.
9. Alan Holz, MD Staff, Section of Neuroradiology, Memorial Regional Hospital. Arachnoiditis Imaging. Apr. 17, 2017.
10. Larry B. Poe, M. D. Arachnoiditis MRI Web Clinic - July 2007.
11. J. Antonio Aldrete, MD, MS. Suspecting and Diagnosing Arachnoiditis. April 13, 2017.
12. Farber M. A., Krasnov Iu.P., Magai N. V. Pathogenetic significance and diagnosis of adhesive processes in the radicular syndromes of lumbar osteochondrosis. Zh Nevropatol Psikhiatr Im SS Korsakova. 1988; 88 (4): 23.
Review
For citations:
Lebedev I.A., Kholin A.V., Rusalkina A.O., Rakhmanina O.A., Beznosov E.V., Drachenina A.A. Reactive epieurithis and spinal arachnoiditis in intervertebral hernias and their MRI-diagnostics. Medical alphabet. 2018;1(11):14-17. (In Russ.)
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