Posterior lumbar subcutaneous oedema

Changed by Henry Knipe, 9 Aug 2018

Updates to Article Attributes

Body was changed:

Posterior lumbar subcutaneous oedema is a very frequent finding on MRI of the spine. A clinicalClinical correlation is almost always required to identify the significance of this.

Terminology

Due to its distribution, it is sometimes referred to colloquially as "tramp-stamp oedema". 

Epidemiology

It is more common in elderly and female patients. 

Pathology

CausesAetiology
  • overweight/obesity (raised BMI)
  • age (advancing age)
  • sex (more common in females)
  • posterior compartment degenerative changes (facet arthropathy)
  • infectious process
  • neoplastic causes

Radiographic features

MRI 

It is the same appearance as that of oedema elsewhere in the body.

  • T2 and STIR: hyperintense signal
  • T1: hypointense signal

Due to its distribution it is sometimes referred to as tramp-stamp oedema

  • -<p><strong>Posterior lumbar subcutaneous oedema </strong>is a very frequent finding on MRI of spine. A clinical correlation is almost always required to identify the significance of this.</p><h4>Pathology</h4><h5>Causes</h5><ul>
  • -<li>overweight (raised BMI)</li>
  • -<li>age (advancing age)</li>
  • -<li>sex (more common in females)</li>
  • +<p><strong>Posterior lumbar subcutaneous oedema </strong>is a very frequent finding on MRI of the spine. Clinical correlation is almost always required to identify the significance of this.</p><h4>Terminology</h4><p>Due to its distribution, it is sometimes referred to colloquially as "<a href="/articles/tramp-stamp-oedema-1">tramp-stamp oedema</a>". </p><h4>Epidemiology</h4><p>It is more common in elderly and female patients. </p><p><strong style="font-size:1.5em; font-weight:bold">Pathology</strong></p><h5>Aetiology</h5><ul>
  • +<li>overweight/<a title="Obesity" href="/articles/obesity">obesity</a> (raised BMI)</li>
  • -</ul><p>Due to its distribution it is sometimes referred to as <a href="/articles/tramp-stamp-oedema-1">tramp-stamp oedema</a>. </p>
  • +</ul>
Images Changes:

Image 2 MRI (STIR) ( create )

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