Winking owl sign (spine)
Last revised by Leonardo Lustosa on 27 Jan 2023
Citation, DOI, disclosures and article data
Citation:
Schubert R, Lustosa L, Elfeky M, et al. Winking owl sign (spine). Reference article, Radiopaedia.org (Accessed on 05 Oct 2024) https://doi.org/10.53347/rID-14693
Permalink:
rID:
14693
Article created:
22 Aug 2011,
Roberto Schubert
Disclosures:
At the time the article was created Roberto Schubert had no recorded disclosures.
View Roberto Schubert's current disclosures
Last revised:
27 Jan 2023,
Leonardo Lustosa ◉
Disclosures:
At the time the article was last revised Leonardo Lustosa had no financial relationships to ineligible companies to disclose.
View Leonardo Lustosa's current disclosures
Revisions:
18 times, by
13 contributors -
see full revision history and disclosures
Systems:
Tags:
Synonyms:
- Absent pedicle sign
- Winking owl's sign
- Winking eye sign
- Pedicle sign
- The winking owl sign
The (absent) pedicle sign, also called the winking owl sign, occurs on plain radiograph of the spine when a pedicle is absent 5.
The term, winking owl sign, where the missing pedicle corresponds to the closed eye, the contralateral pedicle to the other round open eye, and the spinous process to the beak of the owl on AP views of the thoracic or lumbar spine 1,2.
Pathology
Etiology
There is a wide etiology 3,4:
- destroyed pedicle
- spinal metastases
- intraspinal malignancies
- tuberculosis and other infections
- uncommon: primary bone lesion; lymphoma
- congenital absence/hypoplasia of a pedicle
- neurofibromatosis
- poorly-visualized
- radiation therapy
References
- 1. Jacobs WB, Perrin RG. Evaluation and treatment of spinal metastases: an overview. Neurosurg Focus. 2006;11 (6): e10. Pubmed citation
- 2. Boos N, Aebi M (eds). Spinal disorders: Fundamentals of diagnosis and treatment. Springer Berlin (2008) ISBN-10: 3540405119. Read it at Google Books
- 3. Yochum TR, Rowe LJ. Essentials of Skeletal Radiology. Lippincott Williams & Wilkins. (2005) ISBN:0781739462. Read it at Google Books - Find it at Amazon
- 4. Ortiz D. Reeder and Felson's gamuts in radiology. Praeger. ISBN:0313312168. Read it at Google Books - Find it at Amazon
- 5. Lloyd J Ridley, Jason Han, William E Ridley, Hao Xiang. Winking owl sign: Unilateral absent pedicle. (2018) Journal of Medical Imaging and Radiation Oncology. 62: 168. doi:10.1111/1754-9485.37_12786 - Pubmed
Incoming Links
Articles:
Cases:
- Multiple myeloma
- Partially cystic thyroid nodule - benign Hurthle changes
- Winking owl sign
- Osteolytic bone metastases
- Spinal tuberculosis
- Winking owl sign
- Occult spinal dysraphism
- Occult spinal dysraphism
- C7 congenital abnormalities
- Winking owl sign
- Winking owl sign - absent pedicle in spinal metastases
- Vertebral metastases - absent pedicle
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