Intravertebral collateral enhancement resembling sclerotic metastatic disease in a case of cervical epidural abscess.

Daniel K Schneider, Ahmet Hakan Ok, Claus S Simpfendorfer, Michael C Forney, Naveen Subhas

Abstract readCase Reports

In one paragraph

Article in Skeletal radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Daniel K SchneiderImaging Institute, Cleveland Clinic, 9500 Euclid Ave, A21, Cleveland, OH, 44195, USA. schneid8@ccf.org.ORCID http://orcid.org/0009-0005-3545-7654

Ahmet Hakan OkImaging Institute, Cleveland Clinic, 9500 Euclid Ave, A21, Cleveland, OH, 44195, USA.

Claus S SimpfendorferImaging Institute, Cleveland Clinic, 9500 Euclid Ave, A21, Cleveland, OH, 44195, USA.

Michael C ForneyImaging Institute, Cleveland Clinic, 9500 Euclid Ave, A21, Cleveland, OH, 44195, USA.

Naveen SubhasImaging Institute, Cleveland Clinic, 9500 Euclid Ave, A21, Cleveland, OH, 44195, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vertebral body enhancement is occasionally seen on postcontrast CT imaging in the absence of osseous pathology. This enhancement can mimic sclerotic osseous metastatic disease, leading to a diagnostic dilemma for radiologists and increasing the chance of misinterpretation. Existing literature has focused on the association between this enhancement and concomitant central venous system obstruction. We report a 61-year-old woman with a history of nasopharyngeal carcinoma presenting with an epidural abscess who exhibited vertebral body enhancement resembling sclerotic metastatic disease without imaging evidence of central venous obstruction or vertebral osseous metastatic disease. Awareness of this unique presentation may prevent the incorrect diagnostic errors and their associated negative effects on patients.

Indexed as

Cervical VertebraeEpidural AbscessNasopharyngeal NeoplasmsTomography, X-Ray ComputedContrast MediaDiagnosis, DifferentialFemaleHumansMiddle AgedContrast MediaCentral venous obstructionCervical epidural abscessPseudolesionSclerotic metastatic diseaseVertebral body enhancement

Identifiers

PMID39080030

DOI10.1007/s00256-024-04761-w

PMCPMC11953111

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.