neuropathic spinal arthropathy

Spinal

disorders mimicking infection. 72-year old male with amyotrophic lateral sclerosis presenting with subacute back pain, fever and inflammation in laboratory findings. Sagittal T2 (a), T1 (b) WI, DWI (c) and T1 after contrast on sagittal (d) and axial planes (e) show multiple contiguous erosive disco-vertebral disease on dorsal spine with local deformity and advanced destruction (arrow). No diffusion restriction was noticed on DWI (black arrow). Note anterior and posterior involvement (star). Reformatted sagittal CT (f) shows bone sclerosis and subtle vacuum phenomena in the disc (arrow). R1 Point 11The final diagnosis was Charcot spine