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RADIOLOGICAL EVALUATION OF SPINAL DYSRAPHISM USING MRI
Dr. Hari Raj Rajeshwari, Sriramaneni Venkateswar Rao
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Abstract

Aims and objectives: To assess the role of MRI in • The identification of various forms of Spinal dysraphism. • Characterization of the lesions and associated anomalies. • Giving a composite diagnosis based on specific Imaging findings. Materials and methods: A total of 20 patients who were suspected to have spinal dysraphism clinically and referred for MRI Spine were imaged with 1.5 Tesla MRI Scanner, Siemens magnetom avento Syngo (MR D-13) 16 channel machine in the department of Radiodiagnosis. It was an observation study & a total of 20 patients fulfilling the selection criteria were studied Clinically the most common cause for referral was swelling in the back predominantly in Lumbosacral region. The other symptoms were sensory/motor deficit, bladder/ bowel disturbances, spinal curvature deformities, cutaneous features like dermal dimple, hypertrichosis, dermal sinus and capillary hemangioma etc. Results: The most common type of spinal dysraphism is open spinal dysraphism accounting for 80% of the total 20 cases. The most common open spinal dysraphism is Myelomeningocele accounting for 81.25% of the total 16 cases followed by myelocele.Occult spinal dysraphism accounted for 20% of the total 20 cases. The most common type of occult spinal dysraphism is Spinal lipoma accounting for 50% of the total 4 cases. Conclusion: MRI is the imaging modality of choice for evaluation of the soft tissue anomalies of Spinal dysraphism especially spinal cord anomalies.

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