Rimozione di un angioma vertebrale: acquisizioni post-intervento

Vevo MD è stato impiegato anche nelle acquisizioni successive alla rimozione chirurgica di un angioma vertebrale17. La neoplasia presentava infatti un’estensione epidurale, con conseguente compressione midollare, rendendo quindi necessaria la rimozione di gran parte del tessuto osseo vertebrale. Mediante gli UHFUS è stato possibile visualizzare lo spazio epidurale, accertandosi che quest’ultimo non fosse più compresso contro il midollo spinale.

Figura 3.60 – TC e RM preoperatorie17 (prime due immagini): è possibile vedere l’invasione del corpo vertebrale da parte dell’emangioma. TC post-operatoria (ultima immagine): la struttura del corpo vertebrale è molto cambiata in seguito alla rimozione di parte di esso

90 Figura 3.61 – Acquisizioni con Vevo MD a seguito dell’intervento17. È possibile vedere il midollo spinale e lo spazio epidurale. A causa della compressione dovuta all’angioma, lo spazio veniva spinto contro il midollo: questo è evidenziabile dalle forma asimmetrica del midollo stesso. Nell’immagine sulla destra si possono vedere inoltre particolari tralci fibrosi presenti nello spazio epidurale, espressione di ripetuti anni di compressione contro il midollo spinale.

91

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