Profile of patients of spinal dysraphism undergoing MRI
Journal Title: Medpulse International Journal of Radiology - Year 2018, Vol 7, Issue 1
Abstract
Background: Congenital malformations of the spine cord are collectively called as spinal dysraphism. These conditions are usually diagnosed at birth or in early infancy but some may be discovered in older children or adults. Spinal lesions are increasingly being diagnosed due to advent of newer imaging modality like MRI. MRI has resulted in better imaging resolution and thus resulting in an improved modality for evaluation of spinal disorders. Aims and Objectives: To study the profile of clinically suspected patients of spinal dysraphism and advised to undergo MRI. Materials and Method: 70 patients with clinically suspected spinal dysraphism were included in the study. All the patients were made to undergo MRI spine using 1.5 Tesla MRI (superconducting magnet, MAGNETOM SYMPHONY) manufactured by SIEMENS after taking informed consent for the same. The findings of MRI spine were assessed and analyzed. Results: The peak occurrence of congenital spinal lesions was seen in age group 0-20 yrs (70%) and more common in females than males. Subcutaneous mass was observed in 38.5% patients whereas curvature abnormality was seen in 42.8% patients. Among the patients of curvature abnormality, lumbar curvature was the most commonly involved. Spina-bifida was the commonest (45.7%) vertebral anomaly and it was followed by Block vertebra (24.2%) and Hemi vertebra (22.8%). Conclusion: Spinal dysraphism was common in younger female. Majority of the patients present with sub cutaneous mass and curvature abnormality with lumbar region involvement. On MRI Vertebral anomalies were the commonest spinal anomalies followed by spina bifida, tethered cord, scoliosis/kyphosis, syrinx and diastematomyelia.
Authors and Affiliations
Eranna R Palled, Ajay K, A C Shetty, Sudhakar R C, Siddappa S
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