Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Spinal epidural abscess: correlation between MRI findings and outcome.

G A Tung1, J W Yim, L A Mermel

  • 1Department of Diagnostic Imaging, Brown University School of Medicine, Rhode Island, USA. Glenn_Tung@brown.edu

Neuroradiology
|January 20, 2000
PubMed
Summary

Specific MRI findings in spinal epidural abscess (SEA) correlate with patient outcomes. Key indicators like spinal canal narrowing and abscess size predict weakness, pain, and incomplete recovery, aiding in outcome prediction.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Comment on: Central-line-associated bloodstream infection (CLABSI) burden among Dutch neonatal intensive care units.

The Journal of hospital infection·2024
Same author

Dismantling the ability of CT and MRI to identify the target mismatch profile in patients with anterior circulation large vessel occlusion beyond six hours from symptom onset.

Emergency radiology·2019
Same author

The great influenza centennial-what have we learned about the epidemiology and prevention of transmission?

Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases·2018
Same author

A patient with palpitations.

Acute medicine·2015
Same author

Intraoperative stopcock and manifold colonization of newly inserted peripheral intravenous catheters.

Infection control and hospital epidemiology·2014
Same author

Clinical stroke penumbra: use of National Institutes of Health stroke scale as a surrogate for CT perfusion in patient triage for intra-arterial middle cerebral artery stroke therapy.

AJNR. American journal of neuroradiology·2012

Area of Science:

  • Radiology
  • Neurology
  • Infectious Disease

Background:

  • Spinal epidural abscess (SEA) is a serious condition requiring prompt diagnosis and management.
  • Predicting clinical outcomes in SEA patients can be challenging.
  • Magnetic Resonance Imaging (MRI) is crucial for diagnosing SEA.

Purpose of the Study:

  • To investigate the association between specific MRI findings at diagnosis and clinical outcomes in patients with SEA.
  • To identify MRI features that predict neurological deficits and functional recovery.
  • To explore the potential for an MRI-based grading system for outcome prediction.

Main Methods:

  • Retrospective review of clinical records and MRI studies for 18 patients diagnosed with SEA.
  • Evaluation of contrast-enhanced MRI findings, including spinal canal narrowing, enhancement patterns, and abscess characteristics.

Related Experiment Videos

  • Correlation of MRI findings with clinical outcomes such as weakness, pain, and functional recovery via univariate analysis.

    • Main Results:

    • Significant associations were found between MRI findings and clinical outcomes.
    • Spinal canal narrowing (≥50%), peripheral contrast enhancement, and abnormal spinal cord signal intensity correlated with follow-up weakness.
    • Abscess length (>3 cm) and spinal canal narrowing were linked to persistent pain and incomplete functional recovery.

    Conclusions:

    • Specific contrast-enhanced MRI findings in spinal epidural abscess are predictive of clinical outcomes.
    • Spinal canal narrowing, abscess length, and enhancement patterns are key indicators for predicting weakness, pain, and recovery.
    • An MRI-based grading system incorporating these factors could improve prognostication for SEA patients.