font-size: 18px; Cervical Spine MRI done by Guilford Radiology, 2010. . No other pre-visit preparation is necessary. The authors stated that more research is needed to define effective and efficient strategies for the diagnostic evaluation of peripheral neuropathy. 2004;27(2):75-80; discussion 81-82. de Graaf I, Prak A, Bierma-Zeinstra S, et al. Imaging of acute cervical spine injuries: Review and outlook. While the exact pathogenesis is unclear, the etiology of SEL can be broadly classified based on 5 commonly associated risk factors: exogenous steroid use, obesity, endogenous steroid hormonal disease, spine surgery, and idiopathic disease. Waltham, MA: UpToDate; reviewed December 2019. Spine measurements in the experimental posture were compared to the same measures in the standard supine posture; 94 % inter-observer reliability was observed. This may include patients with symptoms or conditions such as neck pain, radiculopathy, spinal stenosis, herniated discs, or other spinal abnormalities. American College of Physicians. Plackett and colleagues (2016) noted that the role of cervical spine MRI in the evaluation of clinically unevaluable blunt trauma patients has been called into question by several recent studies. Patel and associated (2015) noted that with the use of the framework advocated by the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Working Group, they performed a systematic review and to develop evidence-based recommendations that may be used to answer the following PICO [Population, Intervention, Comparator, Outcomes] question: In the obtunded adult blunt trauma patient, should cervical collar removal be performed after a negative high-quality cervical spine (C-spine) CT result alone or after a negative high-quality C-spine CT result combined with adjunct imaging, to reduce peri-clearance events, such as new neurologic change, unstable C-spine injury, stable C-spine injury, need for post-clearance imaging, false-negative CT imaging result on re-review, pressure ulcers, and time to cervical collar clearance? PDF BMCHP CPT CODE LIST - eviCore Furthermore, an UpToDate review on Polyradiculopathy: Spinal stenosis, infectious, carcinomatous, and inflammatory nerve root syndromes (Rutkove and Tarulli, 2022) states that Additional causes of spinal stenosis include congenital conditions, such as hereditary spinal stenosis or achondroplasia, systemic conditions such as ankylosing spondylitis or Paget disease, and excess accumulation of epidural fat (epidural lipomatosis), which can be seen in patients with Cushing disorder, exogenous glucocorticoid exposure, or obesity Magnetic resonance imaging (MRI) has become the test of choice in the evaluation of spinal stenosis, although bony changes such as osteophyte formation are better demonstrated by computed tomography (CT).
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