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MR imaging of calcified herniated thoracic disk
Journal of Computer Assisted Tomography
|July 1, 1987
Abstract:
The magnetic resonance findings in a 48-year-old woman with a calcified, herniated thoracic intervertebral disk at the T5-T6 level are reported. This patient had an 18 year history of spinal cord symptoms and signs, previously thought to be caused by multiple sclerosis (MS). Magnetic resonance was obtained for further evaluation of MS.
Insights
A calcified herniated thoracic disc mimicked multiple sclerosis (MS) in a patient with a long history of spinal cord symptoms. Magnetic resonance imaging revealed the disc as the cause, not MS.
Area of Science:
- Neurology
- Radiology
- Spinal Imaging
Background:
- Spinal cord symptoms can be challenging to diagnose.
- Multiple sclerosis (MS) is a common diagnosis for such symptoms.
- Calcified herniated discs can present with neurological deficits.
Observation:
- A 48-year-old woman presented with an 18-year history of spinal cord symptoms.
- Symptoms were initially attributed to multiple sclerosis (MS).
- Magnetic resonance imaging (MRI) was performed for further MS evaluation.
Findings:
- MRI revealed a calcified, herniated thoracic intervertebral disc at the T5-T6 level.
- The disc's appearance and location correlated with the patient's neurological signs.
- The findings suggested the herniated disc, not MS, was the primary cause of symptoms.
Implications:
- This case highlights the importance of considering uncommon diagnoses in patients with prolonged neurological symptoms.
- Calcified herniated discs can mimic demyelinating diseases like MS on imaging.
- Accurate diagnosis through advanced imaging like MRI is crucial for appropriate treatment and patient outcomes.