Spondylodiscitis

Case contributed by Dr Ahmed Abd Rabou

Presentation

Back pain and bilateral sciatica more on flexion.

Patient Data

Age: 30 years old
Gender: Male
MRI

L4-5 inflammatory process involving the vertebral end plates with associated destruction of the VEPs, marginal osteophytes with enhancement in post contrast images and extension of the enhancement to the paraspinal region. The disc substance is degenerated and shows diffuse annular bulge, obliterating the epidural fat and indents the ventral aspect of the thecal sac.

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Case information

rID: 30706
Case created: 29th Aug 2014
Last edited: 27th Apr 2017
Inclusion in quiz mode: Included

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