Sunday, 27 December 2015 16:48

12963

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Date : 00.00.00

Name of the Patient : Abc Xyzondlmn / F / 32 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Cervico-dorsal Spine.

CLINICAL PROFILE :

C/O acute onset of quadriparesis since 3-4 days.
H/O retention of urine 8 days back.

EXAMINATION :

M.R.I of the cervico-dorsal spine was performed using the following parameters :

4 mm thick T1 Weighted and T2 Weighted sagittal images.

8 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is a hyperintense area within the centre of the spinal cord extending over the cervico-medullary junction to the conus on the T2 Weighted images. This is iso to hypointense to cord on the T1 Weighted images. The CSF space is unremarkable.

There is no cord compression.

The visualized cervico-dorsal vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.









IMPRESSION :

Altered signal within the centre of the spinal cord extending over the cervico-medullary junction to the conus is not specific for a single diagnosis.

The differential diagnosis would include :

1. Myelitis (most likely).

2. Demyelination (less likely).

3. Ischemia/infarction (unlikely).

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