Schmörl node

Case contributed by Dr Alami Badreeddine

Presentation

Low back pain

Patient Data

Age: 80
Modality: MRI

Schmörl node. Both T1-WI and T2-WI show a well-defined hypo-intense lesion in the lower endplate of L3 (arrow). The lesion is connected with L3-L4 intervertebral disk.

Case Discussion

Schmörl nodes represent vertical disk prolapses through areas of weakness in the vertebral endplate. Schmörl nodes are often multiple and occur predominantly in the thoracolumbar spine. Recently formed Schmörl nodes can be painful and may be indistinguishable from inflammatory or tumoral disease in terms of signal intensity. The identification of endplate defects or intranuclear cleft bending of the disk at either CT or MR imaging is helpful in making the correct diagnosis of acute Schmörl nodes.

PlayAdd to Share

Case Information

rID: 28632
Case created: 3rd Apr 2014
Last edited: 14th Mar 2016
System: Spine
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.