CT and Myelography of the Spine and Cord

1 Introduction.- References.- 2 Technique.- Sedation and Anesthesia.- Puncture of the Thecal Sac.- Metrizamide Injection.- Positioning of the Patient for CT.- Observation of the Patient.- Intravenous Contrast Medium Injection.- Computed Tomographic Technique.- The Image.- Window Setting.- High Spatial Resolution and Contrast Discrimination (ReView).- Direct Coronal Sections.- References.- 3 The Normal Spine and Spinal Cord.- The Spinal Column and Canal.- The Dural Sac and Spinal Cord.- References.- 4 Spinal Dysraphism.- Widened Dural Sac.- Tethered Cord Syndrome.- Meningocele.- Syringohydromyelia.- Diastematomyelia.- Neurenteric Cyst.- Developmental Mass Lesions.- Chiari Malformation.- The Complexity of the Dysraphic State.- References.- 5 Neoplasms.- Primary Neoplasms of Neural Origin.- Primary Neoplasms of the Spinal Column and Paraspinal Structures.- Metastases.- Enhancement of Lesions After Intravenous Contrast Medium Injection.- References.- 6 Trauma, Infection, and Inflammation.- Trauma.- Infection and Inflammation.- References.- 7 Musculoskeletal Disorders and Dysplasias Involving the Spinal Column and Canal.- Spinal Stenosis.- Localized Narrowing of the Spinal Canal.- Widened Spinal Canal.- Neurofibromatosis.- References.- 8 Scoliosis.- Conventional Radiography.- Computed Tomography.- References.- 9 The Diagnostic Accuracy of CTMM.- Comparison Between Information Provided by MM and CTMM.- Comparison Between Findings at CTMM and at Operation or Autopsy.- Conclusion.- References.- 10 Adverse Effects of the Examination.- General and CNS Effects.- Local Damage Caused by Lumbar Puncture and Metrizamide Injection.- 11 Diagnostic Protocols.- Present Protocols.- Future Protocols.- Complete Reference List.