PMC7545976_01
hypo signal of the inter-spinous space C7-D1
PAMJ-36-277-g001.jpg
PMC7545976_01_PAMJ-36-277-g001.jpg
F1
hyper signal T2 of the posterior arch of C7 and D1
PAMJ-36-277-g002.jpg
PMC7545976_01_PAMJ-36-277-g002.jpg
F2
T2 (Figure 2), taking contrast after gadolinium injection. This signal abnormality is associated with posterior unilamellar periosteal reaction of the side of the left vertebral lamina and linear hypo signal T1 of the cortical endo canal of the posterior arch of D1 and C7 with the presence of some small erosion (Figure 3). The diagnosis was in favor of a specific infection, a radiological biopsy was not able for a technical reason, so we decided to do a surgical biopsy.
signal abnormality associated with posterior unilamellar periosteal reaction and linear hypo signal T1 of the cortical endo canal of the posterior arch of D1
PAMJ-36-277-g003.jpg
PMC7545976_01_PAMJ-36-277-g003.jpg
F3
T2 (Figure 2), taking contrast after gadolinium injection. This signal abnormality is associated with posterior unilamellar periosteal reaction of the side of the left vertebral lamina and linear hypo signal T1 of the cortical endo canal of the posterior arch of D1 and C7 with the presence of some small erosion (Figure 3). The diagnosis was in favor of a specific infection, a radiological biopsy was not able for a technical reason, so we decided to do a surgical biopsy.