Concealed in Plain Sight: Revelation of Spina Bifida Occulta on 99mTc-MDP Whole-Body Bone Scan and SPECT/CT.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 40462326.
- Also identified by DOI 10.1097/RLU.0000000000005733.
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Abstract
We present a case of an 11-year-old boy who presented with a 2-month history of low back pain, with no preceding medical conditions or underlying diseases reported. Initial diagnostic evaluation with a 3-phase bone scan revealed a focal area of uptake posterior to the L5 vertebra, which was confirmed by subsequent SPECT/CT imaging to be a reactive change associated with a narrow defect in the spinous process of the L5 vertebra, consistent with spina bifida occulta (SBO). This case highlights the ability of bone scans to uncover missed diagnoses of reactive changes at a typically nonsymptomatic anomaly such as SBO.
Medical subject headings
- Whole Body Imaging
- Single Photon Emission Computed Tomography Computed Tomography
- Spina Bifida Occulta
- Technetium Tc 99m Medronate
- Bone and Bones