Volume : VII, Issue : X, October - 2018

ROLE OF MAGNETIC RESONANANCE IMAGING IN TUBERCULOUS SPONDYLITIS AND NEUROLOGICAL STATUS

Vinita Malhotra, Chandan Kumar, Raj Laxmi, A. K. Gupta, Ashok Kumar Verma

Abstract :

INTRODUCTION:Tubercular spondylitis is defined as an infection by Mycobacterium tuberculosis of one or more of the extradural components of the spine namely the vertea, interverteal disks, paraspinal soft tissues and epidural space.  It is associated with disproportionate amount of morbidity due to its tendency to produce significant deformity and neurologic complications. Therefore, Prompt diagnosis and treatment are of utmost importance. MRI has proven best technique for early diagnosis tubercular spondylitis and neurological complications.AIMS ANDOBJECTIVES: MRI is a non-invasive diagnostic tool for evaluation and early diagnosis of tubercular spondylitis.  To obtain the correlation between MR imaging findings and the neurological status of the patient. MATERIAL ANDMETHODS:55 Patients with strong clinical suspicion of tubercular spondylitis with and without neurological deficit are included. Proper history, clinical examination and neurological examination of affected cord followed by MRI study was done on 1.5 tesla scanner. RESULTS AND CONCLUSION: Early visualization of change in bone marrow intensity, erosion of end plate, destruction/ collapse of verteal body, loss of disc space and change in intensity of interverteal disc space, pre and paraverteal soft tissue abscess/collection, calcification/ bony fragments in pre and paraverteal spaces, bilateral psoas abscessare well seen on MRI sequences. Epidural abscess, thecal sac compression, CSF compression, cord edema, cord compression of spinal cord are also well seen on MRI.  There is significant correlation between the clinical as per the ASIA class and the MRI findings in relation to the spinal canal .IN MRI proper coil and proper sequences were used.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

Vinita Malhotra, Chandan Kumar, Raj Laxmi, A.K. Gupta, Ashok Kumar Verma, ROLE OF MAGNETIC RESONANANCE IMAGING IN TUBERCULOUS SPONDYLITIS AND NEUROLOGICAL STATUS, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-7 | Issue-10 | October-2018

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