<% strPathPics = Session("strPathPicsL") imgBg = strPathPics + Session("strMedia") %> Discitis Lateral

Discitis and Vertebral Osteomyelitis

A 44 year-old man developed fever and low back pain associated with fever. Several days later, he developed numbness and weakness of both legs. Point tenderness was present over the mid-lumbar spine.

Outline the Infection and Bone Destruction                         Show the Gadolinium Enhancement

Sagittal MRI of the Lumbar Spine (Left - T1-weighted image; Right - T1-weighted image with Gadolinium). Note the destructive process at the L2-L3 interspace, that enhances and spreads into the adjacent thecal sac. This is a case of discitis and adjacent osteomyelitis with subsequent inflammation and compression of the cauda equina.


Revised 05/19/06.
The Electronic Curriculum is copyrighted 1998,  Case Western Reserve University School of Medicine.