Abstract
Meningeal disorders of the spine form a heterogenous group of diseases, affecting the spinal cord and its nerve roots through their intimate contact. Meningeal disease can, at times, present with back pain only. However, neurological symptoms are the more common manifestation leading to diagnosis, be it through compression of the spinal cord or of the spinal nerves. MRI is the imaging modality of choice when meningeal disease of the spine is suspected. Wherever possible, imaging studies should precede diagnostic lumbar puncture, because contrast enhancement of the dural sac can occur subsequent to lumbar puncture. If imaging is performed after lumbar puncture, it may be impossible to distinguish between enhancement through meningeal disease and transient changes subsequent to opening of the dural space.
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Chamberlain MC (2008) Neoplastic meningitis. Oncologist 13:967–977
Dampeer RA (2010) Spontaneous spinal subdural hematoma: case study. Am J Crit Care 19:191–193
Nozaki K, Judson MA (2012) Neurosarcoidosis: clinical manifestation, diagnosis and treatment. Presse Med 41:331–348
Prada F, Saladino A, Giombini S et al (2012) Spinal cord herniation: management and outcome in a series of 12 consecutive patients and review of the literature. Acta Neurochir (Wien) 154:723–730
Ranasinghe MG, Zalatimo O, Rizk E et al (2011) Idiopathic hypertrophic spinal pachymeningitis. J Neurosurg Spine 15:195–201
Ross JS et al (2004) Diagnostic imaging spine, 1st edn. AMIRSYS Inc, Salt Lake City. ISBN 0-7216-2880-X
Terushkin V, Stern BJ, Judson MA et al (2010) Neurosarcoidosis: presentations and management. Neurologist 16:2–15
Thigpen MC, Whitney CG, Messonnier NE et al (2011) Bacterial meningitis in the United States, 1998–2007. N Engl J Med 364:2016–2025
Van Goethem JWM, van den Hauwe L, Parizel PM (2007) Spinal imaging. Springer, Berlin/Heidelberg/New York. ISBN 978-3-540-21344-4
Yuki N, Hartung HP (2012) Guillain-Barré syndrome. N Engl J Med 366:2294–2304
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© 2015 Springer-Verlag Berlin Heidelberg
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Wagner, M., Klein, J.C. (2015). Meningeal Disorders. In: Hattingen, E., Weidauer, S., Setzer, M., Klein, J., Vrionis, F. (eds) Diseases of the Spinal Cord. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54209-1_13
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DOI: https://doi.org/10.1007/978-3-642-54209-1_13
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