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14 août 2010 6 14 /08 /août /2010 08:58

HERNIE DISCALE

VERTEBRALE

 

INTRASPONGIEUSE

NODULE de SCHMORL

Angl :

SCHMORL's NODE

CARTILAGINOUS NODE

INTRAOSSEOUS DISK HERNIATION

 

 

 DEFINITION    INTRUSION DISCALE par une DEHISCENCE du plateau

            FRAGILISATION de la PLAQUE VERTEBRALE

 

 

CAUSES

           TRAUMATIQUE

            MICROTRAUMATIQUE

            OSTEOPOROSE OS FRAGILE

             METABOLIQUE

             RHUMATISME AXIAL

             DEFAUT de DEVELOPPEMENT

 

IRM  

             ENCOCHE de L'HYPOSIGNAL de la CORTICALE OSSEUSE

 

             CONTIENT un SIGNAL IDENTIQUE au SIGNAL DISCAL

 

 

             BORD CONCAVE VERS LE DISQUE

            

              UNIQUE   ou

              MULTIPLE

 

 

               OEDEME autour de la Hernie discale intraspongieuse

                si REACTION INFLAMMATOIRE HYPERVASCULAIRE

 

                  -  HYPOSIGNAL T1

               -   HYPERSIGNAL T2

                              -    REHAUSSEMENT APRES INJECTION SI

                                   INFLAMMATION

 

DIAGNOSTIC DIFFERENTIEL  

                              si rehaussement inflammatoire :

                             TUMEUR

                              INFECTION

 

 

 

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