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The clinical significance of gadolinium enhancement of lumbar disc herniations and nerve roots on preoperative MRI

  • DIAGNOSTIC NEURORADIOLOGY
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Abstract

The clinical significance of preoperative gadolinium DPTA enhancement around disc herniations and in the epidural space on MRI is not clear. The relation of nerve root enhancement to dysfunction also remains controversial. To investigate the clinical significance of contrast enhancement we looked at the symptoms and signs and gadolinium DPTA-enhanced images of 71 consecutive surgical candidates in a standardised fashion. Annular rupture and disc enhancement were found to be closely related, and correlated with sensory loss and paresis, respectively. Nerve root enhancement was found to be related to neurological deficits in general and sensory impairment in particular.

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Authors and Affiliations

  1. Academic Hospital Maastricht, Department of Neurology, P. O. Box 5800, 6202 AZ Maastricht, The Netherlands Tel. +31-43-3 87 70 58 Fax: +31-43-3 87 70 55, , , , , , NL

    P. C. A. J. Vroomen

  2. Department of Neurosurgery, Academical Medical Centre, St. Lucas Hospital, Amsterdam, The Netherlands, , , , , , NL

    S. J. M. Van Hapert & R. E. H. Van Acker

  3. Department of Neurosurgery, Academic Hospital Maastricht, Maastricht, The Netherlands, , , , , , NL

    E. A. M. Beuls

  4. Department of Epidemiology, Maastricht University, Maastricht, The Netherlands, , , , , , NL

    A. G. H. Kessels

  5. Department of Radiology, Division of neuroradiology, Academic Hospital Maastricht, Maastricht, The Netherlands, , , , , , NL

    J. T. Wilmink

Authors
  1. P. C. A. J. Vroomen
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  2. S. J. M. Van Hapert
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  3. R. E. H. Van Acker
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  4. E. A. M. Beuls
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  5. A. G. H. Kessels
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  6. J. T. Wilmink
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Additional information

Received: 4 June 1997 Accepted: 10 March 1998

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Vroomen, P., Van Hapert, S., Van Acker, R. et al. The clinical significance of gadolinium enhancement of lumbar disc herniations and nerve roots on preoperative MRI. Neuroradiology 40, 800–806 (1998). https://doi.org/10.1007/s002340050688

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  • DOI: https://doi.org/10.1007/s002340050688

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