A Study on the Clinical Profile and Radiologic Features of Patients with Non- Traumatic Myelopathy in A Tertiary Care Centre
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 7
Abstract
Background: Myelopathy is a disabling disease, which not only affect the motor, sensory &autonomic functions, but also have serious psychosocial sequelae. This study aims at assessment of the clinical features of patients suffering from non-traumatic myelopathy in a tertiary care centre and also to study whether the clinical localization correlates with the radiological findings. Objectives: To study the clinical and radiological profile of patients admitted with non-traumatic myelopathy in Government Medical college hospital, Thiruvananthapuram, Kerala. To estimate the prevalence of compressive and non-compressive aetiology in patients admitted with non-traumatic myelopathy in medical wards. To study the agreement between clinical spinal segmental level estimate and radiological findings. Materials and Methods: This is a hospital based descriptive study on patients admitted with quadriplegia or paraplegia. The details of patients including demographics, symptoms and signs, etiology and radiological diagnosis were using pretested structured data sheet. Results: A total of 64 patients were studied of which 37 (57.8% )were male and 27(42.2%) were females. 36 patients (56.3%) presented with clinical features of acute myelopathy, 8 patients (12.5%) had sub-acute presentation and 20 (31.3%) had chronic history of symptoms. 13 (20.3%) patients had quadriparesis and 51 (79.7%)patients had paraplegia. 32 (50%) had compressive myelopathy and 32 (50%) had non compressive myelopathy The most common cause of Compressive myelopathy in our study was Tuberculosis of spine (34.3% among compressive myelopathy) followed by cervical spondylitis (31.2%) and metastasis(6). Out of 11 patients with tuberculosis of spine, in seven patients the spinal segment level diagnosed clinically were within ± 1 spinal segment in MRI and in 4 patients within ± 2segments in MRI. The most common cause of non-compressive myelopathy inour study was Transverse Myelitis (24 cases among 32 cases of non compressive myelopathy) (75%). Only in 6 patients (18.75%), spinal segment level diagnosed clinically corresponded to spinal level in MRI of spine. Conclusion: Tuberculosis of the spine is the most common cause of compressive myelopathy and Transverse Myelitis is the most common non compressive myelopathy in this study. The clinical spinal segment estimate and radiological spinal segment level has more agreement in compressive myelopathy than non-compressive myelopathy. Magnetic resonance imaging is an essential tool in the diagnosis of myelopathy.
Authors and Affiliations
Dr Sabarisree M
Keywords
Related Articles
- EP ID EP527660
- DOI -
- Views 48
- Downloads 0
Histopathological Spectrum of Lesions in Orchidectomy Specimens – A Clinicopathological Study in Tertiary Care Hospital
Background: Testicular Lesions are common in males of all age groups. The lesions range from Benign to malignant. The treatment is different for different histologic subtypes. Objective: The aim of this study is to study...
Paroxysmal Cold Hemoglobinuria: A Rare Case Presentation
Paroxysmal cold hemoglobinuria (PCH) is a rare cause of acquired autoimmune hemolytic anaemia (AIHA) commonly seen in children post viral infections caused by complement dependent cold acting autoantibodies that produce...
Transversus Abdominis Plane Block Versus Wound Infiltration of Local Anesthesia For Post Operative Analgesia
Background: Since the concept of day care surgeries are getting more popular, surgeons and anesthesiologists are trying their best to provide adequate post operative analgesia. Infiltration of surgical wound with local a...
A Rare Case Report of Myocardial Infarction Due to Lightening
Lightening is a natural phenomena which can lead injuries to the body. Lightning strikes in contrast to other high-voltage accidents are characterized by an extremely strong current and an extremely short exposure period...
Gelatin Sponge Induced Adhesive Intestinal Obstruction Following a Gynaecologic Operation (Case Report and Review of Literature)
Early postoperative adhesive intestinal obstruction in the first week following a gynaecologic operation is an uncommon problem. Haemostatic sponges can give rise to this condition. Extensive dissection leads to bleeding...