Non-osseous Tubercular Lesions of Spinal and Paraspinal Region-Evaluation by MRI
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 2
Abstract
ABSTRACT Introduction: Spinal tuberculosis is very common in developing countries like India and it has a wide spectrum of appearance on MRI ranging from simple marrow oedema to complete vertebral body collapse. Early diagnosis and intervention at initial period provide very good prognosis and very less morbidity. Aim: To demonstrate rare MRI features in cases of tubercular lesions in the spinal and paraspinal region without involvement of osseous components of the spine. Materials and Methods: This was a prospective descriptive study conducted in a Tertiary Care Hospital in India from June 2011 to December 2014 based on the MRI findings in patients with Tuberculosis of Spinal and Paraspinal region. Total 529 cases of tubercular spinal lesions were diagnosed. Out of which only 43 patients showed only extraosseous spinal and paraspinal lesions, these were included in the study. Patients with involvement of bony components or typical MRI pictures such as involvement of intervertebral disc and adjacent vertebral bodies were not included in the study. The diagnosis was confirmed by cytology, histopathology, serology and corroborative findings. Results: Various extraosseous changes involving spinal and paraspinal components in case of tubercular lesions, such as 27 cases of Paraspinal soft tissue lesions (62.8%)-Abscesses and Granulation tissue, 10 cases of Extradural and Intradural soft tissue component (23.2%), 4 cases of arachnoiditis (9.3%), 2 cases of Intramedullary Tuberculoma (4.6%) and 1 case of Spinal Cord Abscess (2.3%) were observed and the observed findings were tabulated. Conclusion: On MRI, Spinal Tuberculosis may have wide spectrum of appearance. Involvement of soft tissue without affecting the spinal bony component is quite rare. Hence, the possibility of tuberculosis should be considered even when the bony components are spared. Timely diagnosis and intervention will reduce the morbidity and avoids the complications. MRI plays key role in follow-up of patients to assess the response to treatment.
Authors and Affiliations
Jaiganesh Sivalingam, Anil Kumar, Konduru Varadarajulu Rajasekhar
Impact of Counselling Services in Stress Reduction among First Year MBBS Students
ABSTRACT Introduction: Medical education being a highly competitive field is known to be quite stressful. Stress hinders the efficiency of many medical students. It has a negative influence on their academic performance...
Statistical Significance is Prerequisite in Study
Letter to Editor
Anatomic Landmarks to Identify the Radial Nerve during the Posterior Approach of the Humerus: A Cadaveric Study
ABSTRACT Introduction: Identification of the radial nerve and preventing injury to it is crucial, while surgically approaching the humerus from the posterior aspect to treat fractures of the midshaft or the distal third...
Estimation of Height from Arm Span in 6-11 Years Children in Odisha, India
Introduction: Standing height is an important anthropometric parameter to track longitudinal growth, to estimate body fatness and to calculate energy requirement. Measurement of height may be difficult in children who ca...
Go-kart Accident - Induced Isolated Sternal Body Fracture
Sternal fractures can occur in isolation or with concomitant injuries, such as deceleration injuries and blunt anterior chest trauma. They are seen in 3%-8% of cases of blunt chest trauma, the most common cause of which...