technetium-tc-99m-medronate and Headache

Cervical spinal Ewing's sarcomas are rare and cause problems in diagnosis. We present an unusual case of a primary extraosseous Ewing's sarcoma arising from the spinal cord. An 18-year-old woman with fever, headache and back pain lasting one month was admitted to the hospital. Whole body bone scintigraphy was performed with 1110 MBq technetium-99m methylenediphosphonate. Scintigraphy clearly showed abnormal technetium-99m methylenediphosphonate accumulation in the level of the 5th and 6th cervical vertebrae. Magnetic resonance imaging could also confirm this examination finding. After the scintigraphic study, the patient underwent surgery. Pathological diagnosis of the operation specimen was Ewing's sarcoma.

Topics: Adolescent; Back Pain; Cervical Vertebrae; Female; Fever of Unknown Origin; Headache; Humans; Neoplasms, Unknown Primary; Radionuclide Imaging; Radiopharmaceuticals; Sarcoma, Ewing; Spinal Neoplasms; Technetium Tc 99m Medronate

Despite the frequency with which whiplash injuries present to accident and emergency (A&E) departments, there lacks an objective investigation to define the severity of the initial injury or the morbidity that may ensue. Following reports on the effectiveness of isotope bone scanning for soft tissue and ligament injuries a study was undertaken of isotope scanning of whiplash injuries. The objectives of the study were to isolate the anatomic site of the injury and to quantify the severity of the injury with relation to the concentration of isotope uptake and subsequent morbidity.

Topics: Adolescent; Adult; Back Pain; Evaluation Studies as Topic; Female; Headache; Humans; Male; Middle Aged; Neck; Neck Injuries; Radiography; Radionuclide Imaging; Technetium Tc 99m Medronate; Whiplash Injuries