Intraosseous disc prolapse: A diagnostic puzzle

Parasnis, Rajesh; Talawadekar, Gautam D; Sancheti, KH; Bhojraj, Shekhar Y

doi:10.4103/0019-5413.34485

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2017

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“…In a study of 14 patients with Schmorl nodes, one patient who failed to respond to conservative management had spinal tuberculosis on biopsy 8. A study of Schmorl nodes on autopsy specimens found them to be inversely related to tuberculosis.…”

Section: Discussionmentioning

confidence: 99%

Back pain and oedematous Schmorl node: a diagnostic dilemma

et al. 2017

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A 26-year-old female from India presented with progressive, unremitting low back pain for over 1 year. She had been treated unsuccessfully for left-sided sacroiliitis, pelvic floor dysfunction, ankylosing spondylitis and seronegative spondyloarthritis. MRI lumbar spine showed a Schmorl node with surrounding marrow oedema at L4, the relevance of which is not clear in literature. One year after initial presentation, a biopsy of this lesion revealed culture positive diagnosis of spinal tuberculosis. Despite advances in imaging, delayed diagnosis is not uncommon in spinal tuberculosis (TB). In our case, it was also attributed to an unknown early lesion: Schmorl node with surrounding oedema. Any association of this lesion with spinal TB has previously not been reported.

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Section: Discussionmentioning

confidence: 99%