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Gadolinium-DTPA enhanced MRI in neonatal osteomyelitis of the cervical spine

Department of Radiology, University Hospital Groningen, Oostersingel 59, 9713 EZ Groningen, The Netherlands ^* Department of Pediatrics, University Hospital Groningen, Oostersingel 59, 9713 EZ Groningen, The Netherlands

This excerpt was created in the absence of an abstract.

Although the radiographic features of neonatal osteomyelitis are well described, spinal localizations are very rare and occur in about 2–4%. Clinical presentation with paresis and paralysis occurs in less than 1% (Resnick & Niwayama, 1988). In the neonate negative bone scintigraphy in the presence of bony destruction is not inconsistent with osteomyelitis as in the presented case (Swischuk, 1989). Magnetic resonance imaging (MRI) reports of these cases are scarce (Lac et al, 1990) and Gadolinium-DTPA enhanced MRI has not yet been described. Our recent experience with this unusual but characteristic presentation prompted this report.

Key Words: Neonate • Cervical spine • Osteomyelitis • MRI

Received for publication August 28, 1991. Revision received March 26, 1991. Accepted for publication January 14, 1992.

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