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Imaging review of the atypical spinal epidural space pathologies.
Suthar et al., Curr Probl Diagn Radiol 2024
<!– DOI: 10.1067/j.cpradiol.2024.01.029 //–>
https://doi.org/10.1067/j.cpradiol.2024.01.029
The review article categorizes and discusses the various pathologies that can affect the spinal epidural space (SES), which are capable of causing thecal sac narrowing or spinal cord compression. The pathologies are organized into six groups:
- Degenerative: Includes disc and facet disease, with a focus on less common degenerative issues.
- Infective: Covers conditions like spondylodiscitis, epidural phlegmon, and abscess.
- Neoplastic: Discusses tumors such as neurofibroma, hemangioma, and liposarcoma.
- Vascular: Not detailed in the summary.
- Traumatic: Not detailed in the summary.
- Others: Not detailed in the summary.
The review highlights the importance of Magnetic Resonance Imaging (MRI) as the preferred method for assessing the anatomy and abnormalities of the SES. It also notes that MRI can be effectively combined with computed tomography (CT) or radiographs for evaluating bone structures or radiopaque foreign bodies.
Importance: This review is significant as it provides a structured approach to understanding the diverse conditions that can impact the SES, and underscores the role of imaging, particularly MRI, in their diagnosis.
Contribution to Literature: The article contributes to the literature by compiling the imaging features of various SES pathologies and emphasizing the utility of MRI in their evaluation, which is crucial for accurate diagnosis and treatment planning.