title: [Magnetic resonance tomography using gadolinium-DTPA in the diskectomy syndrome--a reliable method of identifying a recurrent prolapse in scar tissue].
abstract: The non invasive diagnostic possibilities of MR have resulted in better diagnosis of degenerative spinal diseases. Twenty-one patients with failed back surgery syndrome (postdiscectomy syndrome) were studied to evaluate the possibility of 1-Tesla magnetic resonance (MR) imaging with gadolinium diethylene triamine pentaacetic acid (Gd-DTPA) in differentiating post operative scar tissue from recurrent disc herniation. The enhanced MR studies correctly depicted the character of abnormal epidural tissue in all patients. We conclude that MR with GD-DTPA might be the method of choice to differentiate reliably postoperative epidural fibrosis from recurrent disc prolapse.
authors.affiliation: Deutsche Klinik für Diagnostik, Arbeitsgruppe Kernspintomographie, Wiesbaden.
authors.forename: A
authors.initials: A
authors.lastname: Majewski
authors.forename: P
authors.initials: P
authors.lastname: Pedrosa
authors.forename: M
authors.initials: M
authors.lastname: Schuth
authors.forename: H P
authors.initials: HP
authors.lastname: Higer
mesh_terms: D000328:Adult; D000368:Aged; D002921:Cicatrix / Q000175:diagnosis*; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D005682:Gadolinium; D019786:Gadolinium DTPA; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009942:Organometallic Compounds; D004369:Pentetic Acid; D011183:Postoperative Complications / Q000175:diagnosis*; D012008:Recurrence
chemical_list: D003287:Contrast Media; D009942:Organometallic Compounds; D004369:Pentetic Acid; D005682:Gadolinium; D019786:Gadolinium DTPA
vernacular_title: Die Kernspintomographie mit Gadolinium-DTPA beim Diskektomie-Syndrom--eine zuverlässige Methode zur Identifizierung eines Rezidivprolapses im Narbengewebe.