Schmörl nodes

Case contributed by Dr Rekha Khare

Presentation

Chronic backache all over from neck to down for last few years. On examination there was no remarkable clinical sign. There was no other constitutional symptom. Routine laboratory examination was within normal limit.

Patient Data

Age: 18 years
Gender: Male
Modality: MRI

 Lumbar curvature seems to be maintained . Vertebrae are with slightly reduced height: flat vertebrae. Multilevel disc bulging, few are with low signal/dehydrated more at L2-3, L3-4.

 T1& T2 weighted sagittal MR scan of the lumbar spine showing rounded fairly central endplate cortical defects/Schmörl nodes with herniated disc material at T12, L1, 2, 5.

No significant high signal due to inflammation & oedema is noted in the bone marrow surrounding the Schmörl nodes in T2 weighted slice.

Intervertebral disc spaces are not remarkably reduced.

Case Discussion

Schmörl nodes (often spelled Schmorl nodes) refer to protrusions of the cartilage of the intervertebral disc through the vertebral body endplate and into the adjacent vertebra. The protrusions may contact the marrow of the vertebra, leading to inflammation.

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Case Information

rID: 32024
Case created: 9th Nov 2014
Last edited: 27th Apr 2017
Inclusion in quiz mode: Included

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