title: Sequential magnetic resonance imaging finding of intramedullary spinal cord abscess including diffusion weighted image: a case report.
abstract: Intramedullary spinal cord abscess (ISCA) is a rare infection of the central nervous system. We describe the magnetic resonance imaging (MRI) findings, including the diffusion-weighted imaging (DWI) findings, of ISCA in a 78-year-old man. The initial conventional MRI of the thoracic spine demonstrated a subtle enhancing nodule accompanied by significant edema. On the follow-up MRI after seven days, the nodule appeared as a ring-enhancing nodule. The non-enhancing central portion of the nodule appeared hyperintense on DWI with a decreased apparent diffusion coefficient (ADC) value on the ADC map. We performed myelotomy and surgical drainage, and thick, yellowish pus was drained.
authors: Department of Radiology, Chungbuk National University College of Medicine, Chungbuk 361-711, Korea.
authors: Jae Eun
authors: JE
authors: Roh
authors: Seung Young
authors: SY
authors: Lee
authors: Sang-Hoon
authors: SH
authors: Cha
authors: Bum Sang
authors: BS
authors: Cho
authors: Min Hee
authors: MH
authors: Jeon
authors: Min Ho
authors: MH
authors: Kang
mesh_terms: D000038:Abscess / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D038524:Diffusion Magnetic Resonance Imaging; D004322:Drainage; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D010264:Paraplegia / Q000209:etiology; D013118:Spinal Cord Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D013904:Thoracic Vertebrae
chemical_list: D000900:Anti-Bacterial Agents