Mulfitidus Muscle Denervation Secondary to Vertebral Metastatic Lesion: A Potential Diagnostic Pitfall

Ademar Lucas Junior

Abstract

Introduction: The assessment of cancer patients is of great clinical and radiological complexity. Distinguishing between neoplastic tissue infiltration and indirect lesions is key for correct local staging. Methods: Discussion of extrinsic (metastatic) peripheral neuropathy and muscular (multifidus) denervation cases, mainly based on MRI. Results: Precise anatomic correlation between vertebral metastases, neural compression/infiltration and selective muscular denervation. Conclusion: MRI imaging enables highly accurate differentiation between muscular neoplastic infiltration and edemas resulting from secondary peripheral neuropathy.

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