Diagnosis of Lumbar Foraminal Stenosis using Diffusion Tensor Imaging
Asian Spine Journal
;
: 164-169, 2016.
Article
Dans Anglais
| WPRIM
| ID: wpr-28499
ABSTRACT
Diagnosis of lumbar foraminal stenosis remains difficult. Here, we report on a case in which bilateral lumbar foraminal stenosis was difficult to diagnose, and in which diffusion tensor imaging (DTI) was useful. The patient was a 52-year-old woman with low back pain and pain in both legs that was dominant on the right. Right lumbosacral nerve compression due to a massive uterine myoma was apparent, but the leg pain continued after a myomectomy was performed. No abnormalities were observed during nerve conduction studies. Computed tomography and magnetic resonance imaging indicated bilateral L5 lumbar foraminal stenosis. DTI imaging was done. The extraforaminal values were decreased and tractography was interrupted in the foraminal region. Bilateral L5 vertebral foraminal stenosis was treated by transforaminal lumbar interbody fusion and the pain in both legs disappeared. The case indicates the value of DTI for diagnosing vertebral foraminal stenosis.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Imagerie par résonance magnétique
/
Lombalgie
/
Sténose pathologique
/
Diagnostic
/
Diffusion
/
Imagerie par tenseur de diffusion
/
Jambe
/
Léiomyome
/
Conduction nerveuse
Type d'étude:
Etude diagnostique
Limites du sujet:
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Asian Spine Journal
Année:
2016
Type:
Article
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