Presentamos tres casos de raíces lumbares conjuntas intervenidos en el Servicio de Radiología del Hospital Addolorata de Roma y en el Servicio de Neurorradiología del Hospital Universitario de Roma “La Sapienza” entre 2001 y 2004, representando 0.25% de todos los 1200 pacientes evaluados mediante TAC y RM, y revisamos los aspectos diagnósticos presentados en la literatura mundial. Las raíces conjuntas frecuentemente se aprecian en la RM. Cursan habitualmente con dolor (episodios de lumbalgia y lumbociatalgia) y sin déficit motor ni sensitivo. La raíces lumbares pueden ser conjuntas o bífidas y frecuentemente son descubiertas en las autopsias clínicas. Las anomalías congénitas de los nervios raquídeos lumbares no son muy frecuentes y suelen ser difíciles de detectar en TAC sin contraste. In fact, the accurate information derived from MRI of multiple planes may be priceless for the preoperative and diagnostic evaluation of lumbosacral nerve root anomalies. MR imaging is a better diagnostic procedure (in comparison to CT) for the differentiation of nerve root anomalies and, in particular, coronal sections furnish a precise definition of the profile of the conjoined/enlarged rootlets. We report our experience with three cases of conjoined lumbosacral nerve roots and analyze the most important literature on this topic. Our study comprised three patients with conjoined lumbosacral nerve roots, representing 0.25% of a total of 1200 patients who underwent lumbosacral CT/MRI procedures in the Addolorata Hospital and in the Service of Neuroradiology of the University of Rome “La Sapienza” during the last three years (March 2001-March 2004). Firstly described as an incidental finding during autopsies or surgical procedures performed for lumbar disk herniations and often asymptomatic, lumbosacral nerve root anomalies have been more frequently described in the last years due to the advances made in radiological diagnosis (metrizamide myelography and CT, MRI). Generally speaking, these anomalies may consist of a bifid, conjoined structure, of a transverse course or of a characteristic anastomized appearance. Various types of anomalies of the lumbosacral nerve roots have been documented in the available international literature.
See /license for the full LOINC copyright and license.Lumbosacral nerve root anomalies are a rare group of congenital anatomical anomalies. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2022, Regenstrief Institute, Inc. LOINC FHIR ® API Example - CodeSystem Request Get Info $lookup?system= LOINC CopyrightĬopyright © 2022 Regenstrief Institute, Inc. Language Variants Get Info zh-CNChinese (China) 多层^不采用对比剂: 发现: 时间点: 颈部>脊椎.颈段: 文档型: CT it-ITItalian (Italy) Sezioni multiple^Senza contrasto: Osservazione: Pt: Collo>Colonna vertebrale.cervicale: Doc: TC pt-BRPortuguese (Brazil) Multi cortes^sem contraste: Achado: Pt: Coluna.cervical: Nar: TC es-ARSpanish (Argentina) ^sin contraste: hallazgo: punto en el tiempo: columna vertebral.cervical: Narrativo: tomografía computarizada es-MXSpanish (Mexico) Contraste multisección ^ WO: Tipo: Punto temporal: Cuello> Columna cervical: Documento: CT Related Names Observation Both Common US Lab Results Rank 5370 HL7 Attachment Structure Implementation guide exists Member of these Groups LG41846-3 Updated System from "Spine.cervical" per LOINC/RadLex unified model Order vs. LOINCĭiagnostic imaging report - recommended C-CDA R1.1 sectionsīasic Attributes Class RAD Type Clinical First Released Version 2.04 Last Updated Version 2.73 Change Reason The scale has been changed from "Nar" to "Doc" to fit with the CDA model. This panel contains the recommended sections for diagnostic imaging reports based on the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Release 1.1. LOINCĭiagnostic imaging report - recommended C-CDA R2.0 and R2.1 sectionsĬurrent imaging procedure descriptions Document This panel contains the recommended sections for diagnostic imaging reports based on HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) DSTU Releases 2.0 & 2.1. Version 2.73 30592-0 CT Cervical spine WO contrast Active Fully-Specified Name Component Multisection^WO contrast Property Find Time Pt System Neck>Spine.cervical Scale Doc Method CT Additional Names Short Name CT C-spine WO contr Associated Observations