Tunneling Schmorl's nodes in an elderly woman treated for acute lymphoblastic leukemia.
case_report · Level V
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Abstract
We present a 70-year-old woman with pre-B acute lymphoblastic leukemia in whom serial imaging studies showed the development of multiple vertebral collapse, and communicating superior and inferior Schmorl's nodes creating a longitudinal channel ("tunneling" Schmorl's nodes) through the anterior aspect of T12 to L3 vertebral bodies of her osteoporotic thoracolumbar spine. This was observed after achieving complete remission of the disease and during maintenance therapy. The finding is felt to be secondary to iatrogenic exacerbation of osteoporosis.
Medical subject headings
- Antineoplastic Combined Chemotherapy Protocols
- Intervertebral Disc Displacement
- Magnetic Resonance Imaging
- Osteoporosis, Postmenopausal
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma
- Precursor Cell Lymphoblastic Leukemia-Lymphoma
- Spondylolysis
Anatomy
- lumbar spine
- thoracic spine