Imaging review of the atypical spinal epidural space pathologies

Suthar, Pokhraj Prakashchandra; Ozen, Merve; Bhanot, Shelly; Dua, Sumeet G.

doi:10.1067/j.cpradiol.2024.01.029

Current Problems in Diagnostic Radiology

2024

DOI: 10.1067/j.cpradiol.2024.01.029

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Imaging review of the atypical spinal epidural space pathologies

Pokhraj Prakashchandra Suthar,

Merve Ozen,

Shelly Bhanot

et al.

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2024

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Cited by 2 publications

References 47 publications

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Lumbosacral epidural lymphoma: A case report and comprehensive review of literature

Eslami,

Aledavoud,

Ilaghi

et al. 2024

Clinical Case Reports

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Key Clinical MessageEpidural lymphoma of the lumbosacral region is a rare condition that manifests with back pain and nonspecific neurological symptoms. Our case which was diagnosed with diffuse large B‐cell lymphoma, highlights the importance of recognizing early lymphoma symptoms to enable timely treatment and improved outcomes.AbstractLymphoma rarely presents in the lumbosacral epidural space. Initial presentations of lymphoma are of paramount importance in the timely diagnosis and management of the disease. We report a 42‐year‐old woman presented with 4 years of low back pain and progressive right lower extremity paresthesia. Lumbar MRI revealed an epidural soft tissue lesion compressing nerves at L4 to the coccyx. Laminectomy and tumor resection were performed. Pathologic findings confirmed diffuse large B‐cell lymphoma. We systematically reviewed the literature on lymphomas with lumbar epidural space involvement reported since 1990. Twenty‐four cases from 19 reports were identified. The mean age of lumbar epidural lymphoma cases was 39.5 ± 17.8 years, and 72% were male. The most common subtype was diffuse large B‐cell lymphoma, and common presentations included back pain, lower extremity neurological deficits, and bowel/bladder dysfunction. Overall, lymphomas presenting in the spine can pose diagnostic challenges owing to nonspecific initial symptoms. Our case highlights the importance of recognizing early lymphoma symptoms to enable timely treatment and improved outcomes.

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Lumbosacral epidural lymphoma: A case report and comprehensive review of literature

Eslami,

Aledavoud,

Ilaghi

et al. 2024

Clinical Case Reports

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18F-Fluorodeoxyglucose (18F-FDG) PET/CT Appearance of Baastrup’s Disease and Its Multimodality Correlation

Piracha,

Suthar,

Virmani

2024

Cureus

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Baastrup's disease (BD), commonly known as "kissing spine syndrome," presents a significant cause of lower back pain, predominantly affecting the lumbar region. Diagnosis is often challenging due to its symptomatology and radiographic presentation. Herein, we present a case series demonstrating the utility of 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) in diagnosing BD accurately, particularly in oncologic settings where it may mimic metastatic lesions. Through a series of cases, we demonstrate the distinctive imaging features of BD on 18F-FDG PET/CT and its differentiation from malignancies. In addition, we emphasize the importance of clinical awareness and proper correlation with CT or MRI to avoid misinterpretation. Furthermore, we discuss the pathophysiology, clinical presentation, and diagnostic modalities of BD, highlighting its underdiagnosis and potential to mimic metastasis on imaging. By enhancing recognition of BD's appearance on 18F-FDG PET/CT, this study aims to prevent misdiagnoses, reduce unnecessary investigations, and ultimately improve patient care in oncologic practice.

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Imaging review of the atypical spinal epidural space pathologies

Cited by 2 publications

References 47 publications

Lumbosacral epidural lymphoma: A case report and comprehensive review of literature

Lumbosacral epidural lymphoma: A case report and comprehensive review of literature

18F-Fluorodeoxyglucose (18F-FDG) PET/CT Appearance of Baastrup’s Disease and Its Multimodality Correlation

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