By Professor Dr. Cornelis J. P. Thijn, Dr. Jieldouw T. Steensma (auth.)

ISBN-10: 3642746659

ISBN-13: 9783642746659

ISBN-10: 3642746675

ISBN-13: 9783642746673

An evaluation of the radiologic manifestations of tuberculosis in many of the skeletal bones and joints is given during this e-book. the elemental fabric is taken from 460 manifestations of the affliction recorded on the Beatrixoord medical institution within the Netherlands over a interval of 30 years. specific recognition is given to the altering radiologic element of the localizations through the process the affliction. many of the illustrations are in line with traditional radiography, yet examples of using scintigraphy, computed tomography and magnetic resonance also are offered. Chapters on pathogenesis, scientific findings, different diagnostic tools and remedy whole the book.

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In this subligamentous way the infection may extend for a considerable distance and involve many vertebrae, located either cranially or caudally. A subligamentous abscess often causes a scalloped anterior contour of the vertebral body: anterior gouge defect or "aneurysmal syndrome" [1, 73, 142, 169] (Figs. 6-8). The direction of extension of tuberculous abscesses depends not only on the site of the tuberculous focus; gravity also plays an important role, especially in children [147]. When the patient is in bed, especially thoracic abscesses may ascend and infect the vertebrae above per continuitatem [98, 147, 174].

In most cases the affected joint is swollen and painful, but sometimes the findings are subtle, some erosions are present, and no effusion is evident: caries sicca. On the basis of radiologic findings of tuberculous arthritis, four stages can be indicated [109] : Stage I. Demineralization with or without some widening of the joint space caused by affection of the synovial membrane, either specific or nonspecific (Fig. 39). Stage II. One or more osseous foci or erosions usually in combination with a slight narrowing of the joint space by initial cartilage destruction.

From 122a]. b, c Woman, 55 years old. 5 years; immobilized for 7 years. On admission, endogenous reactivation and draining sinus above the iliac crest. Lateral radiograph (b) and tomography (c) present severe kyphosis after tuberculous spondylitis with involvement of 12 vertebral bodies! :""""_... c Radiologic Findings 35 a Fig. 20a, b. Same patient as in Fig. 19b. Fanlike configuration of the ribs as a result of multiple collapsed vertebrae. 13 Osteosclerosis Fragmentation and dislocation of a vertebral body may sometimes cause canal encroachment and medullary compression [175], but neurological complications usually result from extension of a tuberculous abscess or of granulation tissue into the spinal canal [140, 175] (Figs.

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Tuberculosis of the Skeleton: Focus on Radiology by Professor Dr. Cornelis J. P. Thijn, Dr. Jieldouw T. Steensma (auth.)


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