Spine Imaging: Case Review Series
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Spine Imaging, a title in the popular Case Review Series, helps you effectively prepare for certification, recertification, and practice in spine imaging with case studies that test your knowledge of all essential topics. This medical reference book will show you how to make confident, final diagnoses through accurate pattern recognition, clinical correlation, and differential diagnosis. "This book is likely to be most useful for (radiology) trainees in a neuroradiology department." Reviewed by: Gary Culpan, University of Bradford on behalf of RAD Magazine, Oct 14 Prepare effectively by reviewing 160 spine imaging cases, organized by level of difficulty, that mimic the new format of radiology certification and recertification exams. Every case includes at least 3 images and 4 multiple-choice review questions, along with rationales that explain why each answer is correct or incorrect.Ensure your knowledge is up to date with the aid of new and updated spinal imaging case studies covering modalities such as Spinal MRA imaging, SWI, CINE CSF flow, MR myelography and peripheral nerve imaging. New cases include discal cyst, polymyalgia rheumatica, Gaucher disease, pigmented villonodular synovitis, ventriculus terminalis cyst, and much more. Series Editor Spine Imaging Copyright Dedication SERIES FOREWORD BOOK FOREWORD PREFACE Acknowledgements Case 1 Case 1 Tarlov Cyst References Cross-Reference Notes References Case 2 Case 2 Ossification of the Posterior Longitudinal Ligament References Cross-Reference Notes Reference Case 3 Case 3 Traumatic Vertebral Artery Occlusion References Cross-Reference Notes References Case 4 Case 4 Chiari I Malformation Reference Cross-Reference Notes Reference Case 5 Case 5 Calcified Intradural Meningioma References Cross-Reference Notes References Case 6 Case 6 Cerebrospinal Fluid Flow Imaging References Cross-Reference Notes References Case 7 Case 7 Benign Vertebral Hemangioma References Cross-Reference Notes References Case 8 Case 8 Spondylolytic Spondylolisthesis References Cross-Reference Notes References Case 9 Case 9 Midline Epidural Septum References Cross-Reference Notes References Case 10 Case 10 Lumbar Disk Extrusion References Cross-Reference Notes References Case 11 Case 11 Lipomyelomeningocele References Cross-Reference Notes References Case 12 Case 12 Neurofibromatosis Type 2 References Cross-Reference Notes References Case 13 Case 13 Ankylosing Spondylitis Reference Cross-Reference Notes Reference Case 14 Case 14 Lumbar Spinal Stenosis References Notes References Case 15 Case 15 Cervical Spinal Stenosis References Cross-Reference Notes References Case 16 Case 16 Lipoma of the Conus Medullaris References Cross-Reference Notes References Case 17 Case 17 Fatty Filum Terminale References Cross-Reference Notes Reference Case 18 Case 18 Neurosarcoid Conus Medullaris Reference Cross-Reference Notes Reference Case 19 Case 19 History: A 62-year-old woman with a 3-year history of progressive hand numbness and weakness presents with increased limitation ... Anchor 56 Reference Cross-Reference Notes Reference Case 20 Case 20 History: A 70-year-old woman presents with neck pain, Lhermitte’s sign, and upper extremity numbness Anchor 42 References Cross-Reference Notes References Case 21 Case 21 History: A 70-year-old man presents with back pain Anchor 68 References Cross-Reference Notes References Case 22 Case 22 History: A 60-year-old man presents with neck pain Anchor 57 References Cross-Reference Notes References Case 23 Case 23 History: A 40-year-old woman presents with neck pain Anchor 45 References Cross-Reference Notes Reference Case 24 Case 24 History: An 8-year-old boy was hit by a car while skateboarding Anchor 61 Reference Cross-Reference Notes Reference Case 25 Case 25 History: A 66-year-old woman presents with a history of neck pain for the past 2 months and a fall 3 years prior References Cross-Reference Notes References Case 26 Case 26 History: A 73-year-old man with a history of a treated compression fracture 1 year ago presents with new back pain References Cross-Reference Notes References Case 27 Case 27 History: An 18-year-old woman presents with chronic back pain Reference Cross-Reference Notes Reference Case 28 Case 28 History: A 34-year-old woman presents with fever, headaches, and neck pain for the past 4 days and myelopathy on physical examin... References Cross-Reference Notes References Case 29 Case 29 History: A 54-year-old man presents with severe back pain and a history of back surgery 6 months ago References Cross-Reference Notes References Case 30 Case 30 History: A 54-year-old woman presents with lower back pain References Cross-Reference Notes References Case 31 Case 31 History: A 42-year-old man presents with severe low back pain and bilateral leg weakness References Cross-Reference Notes References Case 32 Case 32 History: A 50-year-old man presents with neck pain and radiculopathy References Cross-Reference Notes References Case 33 Case 33 History: A 44-year-old woman presents with a 2-week history of left leg pain and lower extremity weakness Reference Cross-Reference Notes Reference Case 34 Case 34 History: A 21-year-old man was involved in a motor vehicle accident References Cross-Reference Notes References Case 35 Case 35 History: A 66-year-old man previously presented with neck pain and radiculopathy; 6-month follow-up MRI was performed References Cross-Reference Notes References Case 36 Case 36 History: A 52-year-old woman presents with intractable low back pain, left leg numbness, and urinary incontinence References Cross-Reference Notes References Case 37 Case 37 History: A 16-year-old boy presents with nystagmus and spastic quadriparesis References Cross-Reference Notes References Case 38 Case 38 History: A 68-year-old woman presents with loss of motor and sensory function 2 years after undergoing posterior instrumented fu... References Cross-Reference Notes References Case 39 Case 39 History: A 60-year-old man is treated for cervical myelopathy References Cross-Reference Notes References Case 40 Case 40 History: A 37-year-old man presents with a 3-month history of low back pain radiating to the left thigh References Cross-Reference Notes References Case 41 Case 41 History: A 19-year-old man presents with a 4-month history of back pain and the recent onset of urinary incontinence References Cross-Reference Notes References Case 42 Case 42 History: A 60-year-old woman presents with the recent onset of severe lower back pain References Cross-Reference Notes References Case 43 Case 43 History: A 31-year-old man presents with a 2-year history of intermittent numbness and burning in the left anterior thigh References Cross-Reference Notes References Case 44 Case 44 History: A 30-year-old woman presents with back pain and cauda equina syndrome References Cross-Reference Notes References Case 45 Case 45 History: A 33-year-old man with a 6-month history of back pain, progressive weakness of the lower extremities, constipation, and... References Cross-Reference Notes References Case 46 Case 46 History: A 58-year-old woman presents with a 1-year history of back pain, left lower extremity pain, and numbness in the left fo... References Cross-Reference Notes References Case 47 Case 47 History: A 26-year-old man presents with a 7-month history of left-sided lower back pain References Cross-Reference Notes References ? Case 48 Case 48 History: A 52-year-old woman presents with shooting pain and numbness in the legs followed by loss of vision in her left eye References Cross-Reference Notes References Case 49 Case 49 History: A 38-year-old man presents with a long-standing history of progressive urinary and bowel incontinence, erectile dysfunc... References Cross-Reference Notes References Case 50 Case 50 History: A 45-year-old man presents with back pain and progressive paraparesis References Cross-Reference Notes References Case 51 Case 51 History: An 18-year-old woman presents with lower back pain and numbness in the left sciatic region References Cross-Reference Notes References Case 52 Case 52 History: A 45-year-old woman presents with left upper extremity numbness and tingling and mild weakness of the hand for 5 days References Cross-Reference Notes References Case 53 Case 53 History: A 43-year-old man presents with burning pain in the left flank and numbness in the left leg for 1 year References Cross-Reference Notes References Case 54 Case 54 History: A 61-year-old woman presents with progressive difficulty walking and bladder and bowel incontinence References Cross-Reference Notes References Case 55 Case 55 History: A 37-year-old woman presents with right lower extremity numbness, weakness, and tingling in the midabdomen Reference Cross-Reference Notes Reference Case 56 Case 56 History: A 78-year-old man presents with a 3-month history of pain in the midback Reference Cross-Reference Notes Reference Case 57 Case 57 History: A 66-year-old man presents with back pain and lower extremity numbness References Cross-Reference Notes References Case 58 Case 58 History: A 32-year-old woman presents to the emergency department with lower back pain, weakness, and numbness of the lower extr... References Cross-Reference Notes References Case 59 Case 59 History: Sacral dimples in four children of different ages are evaluated Reference Cross-Reference Notes Reference Case 60 Case 60 History: A 49-year-old man presents with acute worsening of neck pain for 3 days Reference Cross-Reference Notes Reference Case 61 Case 61 History: A 14-year-old girl develops acute paralysis and respiratory failure References Cross-Reference Notes References Case 62 Case 62 History: A 22-year-old woman is incidentally found to have a mediastinal mass on a chest x-ray done for a positive purified prot... References Cross-Reference Notes References Case 63 Case 63 History: A 63-year-old woman presents with urinary incontinence, progressive perineal numbness, and difficulty walking for the p... References Cross-Reference Notes References Case 64 Case 64 History: A 2-year-old girl presents with weakness and decreased appetite Reference Cross-Reference Notes Reference Case 65 Case 65 History: A 40-year-old man presents with stabbing neck pain radiating to the right arm and scapula for the past 5 years, relieve... References Cross-Reference Notes References Case 66 Case 66 History: A 35-year-old man presents with left lower back and buttock pain for the past 6 months. The pain is worse at night; ora... References Cross-Reference Notes References Case 67 Case 67 History: A 50-year-old patient presents with progressive numbness and weakness in the upper and lower extremities for the past 4... References Cross-Reference Notes References Case 68 Case 68 History: A 49-year-old woman with a history of resection of a posterior fossa tumor 17 years ago now presents with numbness in t... Reference Cross-Reference Notes Reference Case 69 Case 69 History: A 30-year-old woman with a history of long-standing multiple sclerosis presents with multiple episodes of numbness and ... References Cross-Reference Notes References Case 70 Case 70 History: A 45-year-old woman presents with neck pain radiating to the scapula and left arm pain, numbness, and tingling for the ... References Cross-Reference Notes References Case 71 Case 71 History: A 29-year-old woman who recently emigrated from India presents with a long-standing history of back pain between the sh... References Cross-Reference Notes References Case 72 Case 72 History: A 57-year-old man with a 2-year history of back pain and progressive lower extremity numbness for the past 8 months pre... References Cross-Reference Notes References Case 73 Case 73 History: A 19-year-old woman (patient 1) who was an unrestrained backseat passenger was ejected in a motor vehicle accident and ... References Cross-Reference Notes Reference Case 74 Case 74 History: A 30-year-old woman presents with a recent onset of upper and lower extremity weakness, sensory deficit, and urinary in... References Cross-Reference Notes References Case 75 Case 75 History: An 85-year-old man presents after falling off his bed References Cross-Reference Notes References Case 76 Case 76 History: A 42-year-old woman with a history of sinonasal cancer is found to have a cord lesion on MRI of the cervical spine References Cross-Reference Notes References Case 77 Case 77 History: A 65-year-old woman presents with midback pain References Cross-Reference Notes References Case 78 Case 78 History: A 45-year-old man presents with lower back pain and fever References Cross-Reference Notes References Case 79 Case 79 History: A 67-year-old man with vascular risk factors suddenly develops low back pain, followed by immediate weakness and sensor... References Cross-Reference Notes References Case 80 Case 80 History: A 67-year-old man has a 1-year history of intractable back and right flank pain and right leg tingling Reference Cross-Reference Notes Reference Case 81 Case 81 History: A 25-year-old man is injured in a motorcycle collision References Cross-Reference Notes Reference Case 82 Case 82 History: A 50-year-old woman presents with persistent low back pain for 6 years, with worsening over the past few months References Cross-Reference Notes References Case 83 Case 83 History: A 40-year-old man presents with constant back pain following a laminectomy performed 1 year ago References Cross-Reference Notes References Case 84 Case 84 History: A 53-year-old woman presents with left-sided numbness, left arm and hand weakness, and imbalance Reference Cross-Reference Notes Reference Case 85 Case 85 History: A 60-year-old woman presents with paraplegia and sphincter dysfunction References Cross-Reference Notes References Case 86 Case 86 History: A 64-year-old woman presents with midback pain without neurologic deficit References Cross-Reference Notes References Case 87 Case 87 History: A 70-year-old man presents with back pain References Cross-Reference Notes References Case 88 Case 88 History: A 29-year-old man presents with a 4-week history of numbness in the buttock, perineal area, and lower extremities, as w... References Cross-Reference Notes References Case 89 Case 89 History: A 50-year-old woman presents with leg weakness and numbness References Cross-Reference Notes References Case 90 Case 90 History: A 43-year-old woman presents with back pain radiating to the right leg. The patient has a history of keyhole laminectom... References Cross-Reference Notes References Case 91 Case 91 History: A 69-year-old woman presents with a history of worsening back pain for the past 2 years and lower extremity weakness Reference Cross-Reference Notes Reference Case 92 Case 92 History: A 51-year-old woman with low back pain for the past 2 years presents with cauda equina syndrome References Cross-Reference Notes References Case 93 Case 93 History: A 63-year-old woman presents with lower back pain References Cross-Reference Notes Reference Case 94 Case 94 History: A 55-year-old man presents with cauda equina syndrome Reference Cross-Reference Notes Reference Case 95 Case 95 History: A 44-year-old man with a history of a left heel skin lesion removed 5 years ago presents with back pain References Cross-Reference Notes References Case 96 Case 96 History: A 46-year-old woman presents with cutaneous lesions References Cross-Reference Notes Case 97 Case 97 History: A 38-year-old African American man presents with bilateral lower extremity pain, weakness, and sensory loss References Cross-Reference Notes References Case 98 Case 98 History: A 52-year-old man presents with progressive lower extremity weakness References Cross-Reference Notes References Case 99 Case 99 History: A 16-year-old girl presents with lower extremity weakness and a history of fever, headache, and sore throat 3 weeks pri... References Cross-Reference Notes References Case 100 Case 100 History: A 54-year-old man presents with midback swelling Reference Cross-Reference Notes Reference Case 101 Case 101 History: A 41-year-old woman presents with neck pain References Cross-Reference Notes References Case 102 Case 102 History: The patient is a 6-year-old child with Down syndrome References Cross-Reference Notes References Case 103 Case 103 History: A 48-year-old woman presents with back pain and bilateral lower extremity weakness References Cross-Reference Notes References Case 104 Case 104 History: A 66-year-old man presents with neck pain and right arm pain and weakness References Cross-Reference Notes References Case 105 Case 105 History: A 16-year-old pedestrian was hit by a car References Cross-Reference Notes References Case 106 Case 106 History: A 60-year-old man presents with progressive numbness in the lower extremities for the past year and recent urinary inco... References Cross-Reference Notes References Case 107 Case 107 History: A 61-year-old woman presents with myelopathy References Cross-Reference Notes References Case 108 Case 108 History: A 35-year-old man presents with severe back pain and right posterior thigh and buttock pain References Cross-Reference Notes References Case 109 Case 109 History: A 58-year-old man who underwent back surgery 1 year ago presents with low back pain and radiculopathy Reference Cross-Reference Notes Reference Case 110 Case 110 History: A 55-year-old man presents with back and left hip pain and numbness of the left lower extremity References Cross-Reference Notes References Case 111 Case 111 History: A 49-year-old man presents with back pain References Cross-Reference Notes References Case 112 Case 112 History: A 40-year-old woman has a mass in the craniocervical junction that was found incidentally on a CT scan of the neck obta... References Cross-Reference Notes References Case 113 Case 113 History: A 48-year-old man presents with increasing neck pain References Cross-Reference Notes References Case 114 Case 114 History: A 37-year-old woman who sustained a spinal cord injury 15 years ago in a motor vehicle accident and was stabilized with... References Cross-Reference Notes References Case 115 Case 115 History: A 23-year-old man presents with back pain References Cross-Reference Notes References Case 116 Case 116 History: A 10-year-old boy presents with back pain References Cross-Reference Notes Reference Case 117 Case 117 History: A 60-year-old man with HIV is admitted for rash localized to the groin and left buttock area and decreased sensation in... References Cross-Reference Notes References Case 118 Case 118 History: A 57-year-old man presents with a history of neck pain and right upper and lower extremity weakness and hypoesthesia Reference Cross-Reference Notes Reference Case 119 Case 119 History: A 49-year-old woman presents with headache, neck pain, and cold sensation in the hands References Cross-Reference Notes References Case 120 Case 120 History: A 74-year-old woman who underwent T3-4 laminectomy for resection of an intradural meningioma 3 months earlier now prese... Reference Cross-Reference Notes Reference Case 121 Case 121 History: A 54-year-old man presents with neck and back pain Reference Cross-Reference Notes Reference Case 122 Case 122 History: A 63-year-old woman presents with left-sided sciatica References Cross-Reference Notes Reference Case 123 Case 123 History: A 53-year-old woman presents with a long history of back pain and hysterectomy 10 years ago References Cross-Reference Notes References Case 124 Case 124 History: A 57-year-old woman presents with difficulty walking and bilateral upper extremity weakness for the past several weeks References Cross-Reference Notes References Case 125 Case 125 History: A 43-year-old man with a history of recurrent bilateral optic neuritis and increasing lower extremity numbness for the ... Reference Cross-Reference Notes Reference Case 126 Case 126 History: A 63-year-old man presents with lower back pain References Cross-Reference Notes References Case 127 Case 127 History: An 81-year-old woman with a history of lung and colon cancer presents with complaints of recurrent headaches and neck p... References Cross-Reference Notes References Case 128 Case 128 History: A 55-year-old woman presents with a history of progressive paraparesis and rapidly progressive myelopathy References Cross-Reference Notes References Case 129 Case 129 History: A 37-year-old man presents with left upper back pain and scapular pain. The patient had surgery for resection of a cyst... Reference Cross-Reference Notes Reference Case 130 Case 130 History: A 17-year-old boy presents with left leg pain 6 weeks after lumbar diskectomy at L5-S1 Reference Cross-Reference Notes Reference Case 131 Case 131 History: A 25-year-old man presents with neck pain and left arm numbness and tingling References Cross-Reference Notes References Case 132 Case 132 History: A 67-year-old patient presents with increasing intermittent back and leg pain over the last 2 months, which worsens whe... References Cross-Reference Notes References Case 133 Case 133 History: A 20-year-old woman presents with a history of neck pain and decreased range of motion for the past year and shooting p... References Cross-Reference Notes References Case 134 Case 134 History: A 39-year-old woman from the Bahamas presents with spastic paraparesis and progressive pain in the lower extremities fo... References Cross-Reference Notes References Case 135 Case 135 History: A 47-year-old man presents with a history of increasing back pain for the past 3 years References Cross-Reference Notes References Case 136 Case 136 History: A 60-year-old woman reports a several-week history of severe neck and shoulder pain and morning stiffness. X-rays of th... References Cross-Reference Notes References Case 137 Case 137 History: A 59-year-old man with a 2-year history of progressive gait dysfunction and spacticity References Cross-Reference Case 138 Case 138 History: A 23-year-old man who panicked while scuba diving and made a quick ascent from a depth of 50 meters References Cross-Reference Notes Case 139 Case 139 History: A 39-year-old man presents with an acute onset of neck pain, extremity weakness, and difficulty breathing requiring int... References Cross-Reference Notes References Case 140 Case 140 History: A 4-day-old infant has malformed lower extremities References Cross-Reference Notes References Case 141 Case 141 History: A 9-year-old boy presents with acute torticollis References Cross-Reference References Case 142 Case 142 History: A 40-year-old woman from Turkey complains of increasing back pain for the past 2 years References Cross-Reference References Case 143 Case 143 History: A 63-year-old woman reports an episode of sudden severe back pain while standing in her kitchen References Cross-Reference References Case 144 Case 144 History: A 33-year-old man presents with back pain and leg numbness Reference Cross-Reference Reference Case 145 Case 145 History: A 28-year-old woman presents with back pain and lower extremity pain Reference Cross-Reference Reference Case 146 Case 146 History: A 42-year-old woman presents with back pain for 2 years and burning sensation in her left leg for the past 2 weeks References Cross-Reference Notes References Case 147 Case 147 History: A 56-year-old man presents with back pain References Cross-Reference References Case 148 Case 148 History: A 70-year-old woman presents with a history of back pain and left leg numbness References Cross-Reference References Case 149 Case 149 History: A 27-year-old woman with a history of cataracts as a child developed lower extremity weakness 7 years ago and recently ... References Cross-Reference References Case 150 Case 150 History: A 53-year-old woman with AIDS presents with severe upper back pain between the shoulders and progressive weakness of th... References Cross-Reference References Case 151 Case 151 History: A 55-year-old man with end-stage renal disease who is on long-term hemodialysis presents with recent severe neck pain, ... References Cross-Reference References Case 152 Case 152 History: A 35-year-old man presents with loss of strength in the fingers References Cross-Reference References Case 153 Case 153 History: A 25-year-old, previously healthy woman presents with a 4-year history of progressive pain and disturbance of temperatu... Reference Cross-Reference Reference Case 154 Case 154 History: A 25-year-old woman was involved in a motor vehicle collision Reference Cross-Reference Reference Case 155 Case 155 History: A 60-year-old man presents with neck pain Reference Cross-Reference Case 156 Case 156 History: A 61-year-old man presents with a history of a boat accident 6 months earlier, resulting in cord injury and paralysis References Cross-Reference References Case 157 Case 157 History: A 35-year-old man presents with a 2-month history of back pain, initially radiating to the right midback and then, 1 mo... Reference Cross-Reference Reference Case 158 Case 158 History: A 25-year-old woman presents with a 4-month history of severe postural headaches References Cross-Reference References Case 159 Case 159 History: A 63-year-old woman with a history of an ependymoma resected 10 years earlier presents with cervical myelopathy References Cross-Reference References Case 160 Case 160 History: A 36-year-old woman presents with diminished lower extremity touch sensation and atrophy of the peroneal musculature References Cross-Reference
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