Role of MRI in evaluation of Compressive myelopathy
Journal Title: Indian Journal of Neurosciences - Year 2017, Vol 3, Issue 2
Abstract
• Compressive Myelopathy is the term used to describe the spinal cord compression either from outside or within the cord itself. • Spinal cord injury is the major cause of quadriplegia and disability. • Plain radiographs have a low sensitivity for identifying traumatic spinal lesions. Therefore trauma victims with plain films negative for spine injury but with a high clinical suspicion of injury should undergo MR for a more definitive evaluation of the spine. • MRI is the definitive modality in assessing spinal soft tissue injuries, especially in evaluation of spinal cord, intervertebral discs and ligaments. • In case of spinal trauma, MRI demonstrates the relationship of fractured / subluxated vertebral bodies to the cord and highlights a significant stenosis. The signal abnormalities within this cord can be identified, helping to localize and define the degree of trauma. • In case of suspected cord compression due to neoplasm MRI serves as an excellent method for imaging tumor involving spinal column, canal and cord. • Many spinal cord diseases are reversible if recognized and treated at an early stage; thus they are amongst the most critical of all Neurologic emergencies. • The role of MRI is to distinguish compressive from non-compressive myelopathy. Once compressive lesions have been excluded, non-compressive cause of acute Myelopathy that are intrinsic to the cord are considered primarily vascular, inflammatory and infectious etiologies.
Authors and Affiliations
Aparna Dodia, Palak Patel, Arochala Taxak, Harshad Shah, Asutosh Date
Keywords
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- EP ID EP310548
- DOI 10.18231/2455-8451.2017.0009
- Views 64
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