Spinal cord injury and normal neuroimaging. Aetiology, diagnosis and medico-legal issues

Escario, José Aso; Sebastián, Cristina Sebastián; Vizán, Alberto Aso; Quiñones, José Vicente Martínez; Consolini, Fabián; Calvo, Ricardo

doi:10.1016/j.remle.2017.11.004

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2022

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“…7 In contrast, Madelung disease involves abstinence from alcohol, lipectomy, or liposuction. 2 Although approximately 10% of SHIWORA (spinal cord injury without radiologic abnormality) cases can present with symptomatic spinal cord lesions with normal MRI, [8][9][10] the lack of other additional imaging findings such as marrow edema, ligamentous or soft tissue injury should lead us to be aware of the possibility of another diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Prevertebral fat in Madelung disease mimicking cervical spine injury: A case report

et al. 2022

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Madelung disease is defined by multiple symmetric fatty accumulations, usually involving the upper trunk, and may sometimes have excessive fat deposition in the prevertebral space. On magnetic resonance imaging (MRI), findings of fat that are hyperintense on T1w and T2w images, may simulate subacute hematoma and mimic cervical spine injury. This is the first reported case of Madelung disease with prevertebral fat deposition mimicking prevertebral hematoma found in cervical spine injury on MRI. Fat suppression techniques are helpful in order to differentiate between these two conditions, which should be taken into consideration during routine clinical practice.

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