Evaluation of the Clinical Presentation and MRI Findings to Establish the Specific Cause of Myelopathy
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 5
Abstract
Abstract: Disease of the spinal cord is called myelopathy. They are frequently devastating. They produce quadriplegia or paraplegia with sensory deficits far beyond the site of damage. Many spinal cord diseases are reversible if recognized and treated at an early stage. The aim of this study was to evaluate clinical presentation and aetiology of myelopathy among the patients attending Rajshahi Medical College Hospital with the help of history, clinical examination and investigations. This was a cross-sectional type of descriptive study. A total 44 myelopathic patients were evaluated during study period. Out of 44 patients, 33 (75%) were male and 11 (25%) were female (ratio 3:1), mean aged 35±13.9 years (range 13-65 years). Among them 24 (54.35%) patients had paraparesis and 20 (45.5%) patients had quadriparesis? It was observed that majority 33 (75%) of them had compressive type and 11 (25%) patients had non-compressive type of involvement and out of 33 compressive type of involvement. Out o f33 compressive myelopathy, the commonest cause was CSM 14 (42.4%). 2nd cause was Pott’s disease 8 (24.2%) in number5. Syringomyelia was detected in 5 (11.4%) patients. disc herniatation was n 2 (6.1%) patients. schwannoma was in 2 (6.1%) patients, lipoma was in 1 (3%) patient was metastasis to the vertebra. Out of 11 non-compressive myelopathy ATM was detected in m9 (81.8%) patients and familial spastic paraplegia in 2 (18.2%) patients. All patients with myelopathy should be investigated for potentially treatable causes.
Authors and Affiliations
Dr. Pijush Kumar Kundu, Dr. Md. Emdadul Haque, Dr. Rajkumar Roy, Dr. Md. Tofael Hossain Bhuiyan, Dr. Most. Nasrin Sultana, Dr. Khandoker Ataur Rahman, Dr. Md. Ataur Rahman
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