Role of computed tomography in the radiological evaluation of painful radiculopathy after negative myelography: foraminal neural entrapment
Thirty-five patients with an unremarkable or a negative water-soluble contrast myelogram and a diagnosis of foraminal neural entrapment made or more firmly established by computed tomography (CT) were detected in evaluating 950 patients presenting for myelography. The CT criterion of foraminal neura...
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| Veröffentlicht in: | Neurosurgery 1984-02, Vol.14 (2), p.147-153 |
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| creator | OSBORNE, D. R HEINZ, R BULLARD, D FRIEDMAN, A |
| description | Thirty-five patients with an unremarkable or a negative water-soluble contrast myelogram and a diagnosis of foraminal neural entrapment made or more firmly established by computed tomography (CT) were detected in evaluating 950 patients presenting for myelography. The CT criterion of foraminal neural entrapment was the presence of a mass displacing epidural fat and encroaching on the neural intervertebral foramen or lateral recess so as to compromise an emerging nerve root. The entrapment (confirmed operatively) was due to a laterally prolapsed disc (16 cases), superior articular hypertrophy (4 cases), lateral recess stenosis (3 cases), posterolateral vertebral bone lipping (2 cases), tumors (6 cases), postoperative scarring (2 cases), spondylolisthesis (1 case), and synovial cysts that encroached on the neural foramina (1 case). CT is an important additional investigation in patients with a painful radiculopathy and a negative or equivocal water-soluble contrast myelogram. |
| doi_str_mv | 10.1227/00006123-198402000-00005 |
| format | Article |
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CT is an important additional investigation in patients with a painful radiculopathy and a negative or equivocal water-soluble contrast myelogram.</description><identifier>ISSN: 0148-396X</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1227/00006123-198402000-00005</identifier><identifier>PMID: 6709137</identifier><identifier>CODEN: NRSRDY</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Child ; Diseases of the osteoarticular system ; Diseases of the spine ; Female ; Humans ; Intervertebral Disc - diagnostic imaging ; Male ; Medical sciences ; Middle Aged ; Myelography - methods ; Nerve Compression Syndromes - diagnostic imaging ; Pain ; Spinal Cord Diseases - diagnostic imaging ; Spinal Cord Diseases - physiopathology ; Spinal Nerve Roots - diagnostic imaging ; Spinal Nerves ; Tomography, X-Ray Computed</subject><ispartof>Neurosurgery, 1984-02, Vol.14 (2), p.147-153</ispartof><rights>1984 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-2b0aaa6c7d0abb65757bdbc3c6d3cec2f7c7ef7475a4ee15ff8d2ff859fc5ad33</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9613722$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6709137$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>OSBORNE, D. R</creatorcontrib><creatorcontrib>HEINZ, R</creatorcontrib><creatorcontrib>BULLARD, D</creatorcontrib><creatorcontrib>FRIEDMAN, A</creatorcontrib><title>Role of computed tomography in the radiological evaluation of painful radiculopathy after negative myelography: foraminal neural entrapment</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><description>Thirty-five patients with an unremarkable or a negative water-soluble contrast myelogram and a diagnosis of foraminal neural entrapment made or more firmly established by computed tomography (CT) were detected in evaluating 950 patients presenting for myelography. The CT criterion of foraminal neural entrapment was the presence of a mass displacing epidural fat and encroaching on the neural intervertebral foramen or lateral recess so as to compromise an emerging nerve root. The entrapment (confirmed operatively) was due to a laterally prolapsed disc (16 cases), superior articular hypertrophy (4 cases), lateral recess stenosis (3 cases), posterolateral vertebral bone lipping (2 cases), tumors (6 cases), postoperative scarring (2 cases), spondylolisthesis (1 case), and synovial cysts that encroached on the neural foramina (1 case). CT is an important additional investigation in patients with a painful radiculopathy and a negative or equivocal water-soluble contrast myelogram.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the spine</subject><subject>Female</subject><subject>Humans</subject><subject>Intervertebral Disc - diagnostic imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myelography - methods</subject><subject>Nerve Compression Syndromes - diagnostic imaging</subject><subject>Pain</subject><subject>Spinal Cord Diseases - diagnostic imaging</subject><subject>Spinal Cord Diseases - physiopathology</subject><subject>Spinal Nerve Roots - diagnostic imaging</subject><subject>Spinal Nerves</subject><subject>Tomography, X-Ray Computed</subject><issn>0148-396X</issn><issn>1524-4040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kc1q3TAQhUVoSG_SPEJBi9KdU_1Ykt1dCekPBAqlhe7MWB7duMiWK8mB-wx56eom7tVCg2a-cwRzCKGc3XAhzAdWjuZCVrxtaibKqzq21BnZcSXqqmY1e0V2jNdNJVv9-zW5TOkPY1zXprkgF9qwlkuzI08_gkcaHLVhWtaMA81hCvsIy8OBjjPND0gjDGPwYT9a8BQfwa-QxzAfVQuMs1v9M2JXHxbIRQcuY6Qz7gv3iHQ6oN8sP1IXIkzjXJxmXOPRcM5lNJXyhpw78Amvt3pFfn2--3n7tbr__uXb7af7ykrZ5kr0DAC0NQODvtfKKNMPvZVWD9KiFc5Yg87URkGNyJVzzSDKpVpnFQxSXpH3L75LDH9XTLmbxmTRe5gxrKlrWNu2WosCNi-gjSGliK5b4jhBPHScdcccuv85dKccnluqSN9uf6z9hMNJuC2-zN9tc0hlrS7CbMd0wlpdICHkP3oYlZY</recordid><startdate>198402</startdate><enddate>198402</enddate><creator>OSBORNE, D. R</creator><creator>HEINZ, R</creator><creator>BULLARD, D</creator><creator>FRIEDMAN, A</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198402</creationdate><title>Role of computed tomography in the radiological evaluation of painful radiculopathy after negative myelography: foraminal neural entrapment</title><author>OSBORNE, D. R ; HEINZ, R ; BULLARD, D ; FRIEDMAN, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-2b0aaa6c7d0abb65757bdbc3c6d3cec2f7c7ef7475a4ee15ff8d2ff859fc5ad33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Diseases of the osteoarticular system</topic><topic>Diseases of the spine</topic><topic>Female</topic><topic>Humans</topic><topic>Intervertebral Disc - diagnostic imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myelography - methods</topic><topic>Nerve Compression Syndromes - diagnostic imaging</topic><topic>Pain</topic><topic>Spinal Cord Diseases - diagnostic imaging</topic><topic>Spinal Cord Diseases - physiopathology</topic><topic>Spinal Nerve Roots - diagnostic imaging</topic><topic>Spinal Nerves</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OSBORNE, D. R</creatorcontrib><creatorcontrib>HEINZ, R</creatorcontrib><creatorcontrib>BULLARD, D</creatorcontrib><creatorcontrib>FRIEDMAN, A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OSBORNE, D. R</au><au>HEINZ, R</au><au>BULLARD, D</au><au>FRIEDMAN, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of computed tomography in the radiological evaluation of painful radiculopathy after negative myelography: foraminal neural entrapment</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>1984-02</date><risdate>1984</risdate><volume>14</volume><issue>2</issue><spage>147</spage><epage>153</epage><pages>147-153</pages><issn>0148-396X</issn><eissn>1524-4040</eissn><coden>NRSRDY</coden><abstract>Thirty-five patients with an unremarkable or a negative water-soluble contrast myelogram and a diagnosis of foraminal neural entrapment made or more firmly established by computed tomography (CT) were detected in evaluating 950 patients presenting for myelography. The CT criterion of foraminal neural entrapment was the presence of a mass displacing epidural fat and encroaching on the neural intervertebral foramen or lateral recess so as to compromise an emerging nerve root. The entrapment (confirmed operatively) was due to a laterally prolapsed disc (16 cases), superior articular hypertrophy (4 cases), lateral recess stenosis (3 cases), posterolateral vertebral bone lipping (2 cases), tumors (6 cases), postoperative scarring (2 cases), spondylolisthesis (1 case), and synovial cysts that encroached on the neural foramina (1 case). CT is an important additional investigation in patients with a painful radiculopathy and a negative or equivocal water-soluble contrast myelogram.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>6709137</pmid><doi>10.1227/00006123-198402000-00005</doi><tpages>7</tpages></addata></record> |
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| ispartof | Neurosurgery, 1984-02, Vol.14 (2), p.147-153 |
| issn | 0148-396X 1524-4040 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Biological and medical sciences Child Diseases of the osteoarticular system Diseases of the spine Female Humans Intervertebral Disc - diagnostic imaging Male Medical sciences Middle Aged Myelography - methods Nerve Compression Syndromes - diagnostic imaging Pain Spinal Cord Diseases - diagnostic imaging Spinal Cord Diseases - physiopathology Spinal Nerve Roots - diagnostic imaging Spinal Nerves Tomography, X-Ray Computed |
| title | Role of computed tomography in the radiological evaluation of painful radiculopathy after negative myelography: foraminal neural entrapment |
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