Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_6040_Библиотеки_им_академика_М_И_Перельмана.pdf
286 T. Popolizio et al.
Early Postoperative Follow-Up
Fig. 2 MPR sagittal.
Odontoid removal
Amyotrophic Lateral Sclerosis Stem Cells Transplant
Pseudo-Myelopathy
Alessandro Stecco, Letizia Mazzini, Mariangela Lombardi,
Francesco Fabbiano, Anna Viola, Roberto Cantello
and Alessandro Carriero
• 1 month after transplant: D6–D8 laminotomy and stem cells injection
in fluid solution through microinjectors
• Postoperative follow-up: MR and DTI
Postoperative Follow-Up
Fig. 1 a–c.SET1(a),
FSE T2 (b) and STIR
(c) sagittal. T2
hyperintensity of spinal
cord probably due to
myelopathy or
hydromyelic dilatation in
the region of previous
transplant
Case
89
A. Stecco M. Lombardi F. Fabbiano A. Viola R. Cantello A. Carriero (&)
Department of Radiology, ‘‘Maggiore della Carità’’ University Hospital, Novara, Italy
e-mail: profcarriero@virgilio.it
L. Mazzini R. Cantello
Department of Neurology, ‘‘Maggiore della Carità’’ University Hospital, Novara, Italy
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_94, Springer-Verlag Italia 2014
287
288 A. Stecco et al.
Fig. 2 a–d. FSE T2 (a),
zoom (b), sagittal and axial
(c) and CE SE T1 (Gd
0.5 m) (d). Anteroposterior
spinal cord distraction
causing swelling (a–b), T2
hyperintensity (c), no CE
(d)
Case 89 - Amyotrophic Lateral Sclerosis. Stem Cells Transplant 289
Fig. 3 a–d. DTI with multiple ROI positioned in the cord hyperintensity (HYPER) and in appearing normal regions
(UPPER Normal Appearing Spinal Cord—NASC; LOWER NASC); Fiber-Tracking, coronal, and sagittal (c) table: FA
and ADC values in related ROI (d). Fiber-Tracking (b) no signs of spinal cord atrophy with regular fiber
reconstruction even when signal is altered. FA values, related to tropism and neuronal density are similar in the three
levels (two of control and one of lesion) showing that in this region there is a fluid collection instead a neuronal loss
(d). This conclusion is supported by incremented ADC (d), (typical of fluid collection). Fiber-Tracking (b) no signs of
atrophy of spinal cord even when it has altered signal intensity. FA values, related to trophism and neuronal density
are similar in the three levels (two of control and one of lesion) showing that in this region there is a fluid collection
instead a neuronal loss (d). This conclusion is supported by incremented ADC (d), (typical of fluid collection)
Case
Functional MR
Normal and Pathological Semeiotics
Marco Di Terlizzi, Michele Ricciardi, Tommaso Scarabino
and Francesco Ricciardi
• Comparison between supine and upright position with evaluation of
lumbo-sacral angles (normal value 120–180), lordosis angle (normal
value 50), intervertebral disk thickness in healthy, in herniated disk, in
spondylolisthesis untreated, and treated by stabilization
90
Fig. 1 a–f. Supine
(a–c–e), upright (b–d–f)in
healthy with evaluation of
lumbosacral angle
(a–b), lordosis angle (c–d),
disk thickness (e–f)
M. Di Terlizzi M. Ricciardi F. Ricciardi
Radiology Center, Andria, Italy
T. Scarabino (&)
Department of Radiology—Neuroradiology, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
e-mail: tscarabino@hotmail.com
(a)
(b)
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_95, Springer-Verlag Italia 2014
291
292 M. Di Terlizzi et al.
Fig. 1 (continued)
(c)
(e)
(d)
(f)
Case 90 - Functional MR. Normal and Pathological Semeiotics 293
Fig. 2 a–f. Supine (a, c, e), upright (b, d, f) sagittal and axial in right intra/extraforaminal herniated disk, better
displayed in upright. Narrowing of spinal canal (f)
294 M. Di Terlizzi et al.
(a)
(c)
(b)
(d)
Fig. 3 a–d. Supine (a), upright (b), sagittal, supine (c) and upright (d) axial in anterior listhesis L4–L5 better
displayed in upright with further reduction of amplitude of spinal canal
Case 90 - Functional MR. Normal and Pathological Semeiotics 295
Fig. 4 a–b. Supine (a), upright (b) sagittal in spondylolisthesis treated by stabilization through plaques and screws.
No modification in upright demonstrates efficacy of surgery