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Related Experiment Videos

MR imaging of calcified herniated thoracic disk.

N Roosen, U Dietrich, N Nicola

    Journal of Computer Assisted Tomography
    |July 1, 1987
    PubMed
    Summary

    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.

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    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.

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    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.