Kurugoglu S, Mihmanli I, Kanberoglu K, Kanberoglu A
Department of Radiology, Istanbul University, Cerrahpasa Medical Faculty, Turkey.
South Med J. 2001 Aug;94(8):837-41.
We report magnetic resonance imaging findings of diskovertebral lesions in a case of ankylosing spondylitis mimicking metastatic and/or infectious disease. Multiple hypointense areas were seen on T1-weighted images corresponding to hyperintense areas on T2-weighted images in dorsal, lumbar, and sacral vertebral bodies and the manubriosternal joint, with accompanying soft tissue masses. Diagnosis was achieved through biopsy, regression of the paravertebral soft tissue masses, later detection of bilateral sacroiliitis on computed tomography, and presence of histocompatibility antigen HLA-B27.
我们报告了一例强直性脊柱炎患者椎间盘椎体病变的磁共振成像结果，该病变酷似转移性和/或感染性疾病。在胸椎、腰椎和骶椎椎体以及胸骨柄关节的T1加权图像上可见多个低信号区，对应于T2加权图像上的高信号区，并伴有软组织肿块。通过活检、椎旁软组织肿块消退、后来在计算机断层扫描上发现双侧骶髂关节炎以及存在组织相容性抗原HLA - B27得以确诊。
