Date : 00.00.00
Name of the Patient : Abc XyzYlmn / F / 26 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O weakness and wasting of the LUE with pain in the left wrist since 1 1/2 years.
EMG s/o electrophysiological evidence of partial denervation (chronic) involving the C5, C6, C7, C8 and T1 roots on the left.
M.R.I of the cervical spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
The cervical vertebral bodies and the intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
Hyperintense signal on the Fast Scan (T2 *) images is seen in the region of the anterior horn cells within the cord, more so on the left side at the C6 and C7 levels.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
Incidental note is made of slightly enlarged lymph nodes in the deep cervical chain on the right side.
Anti-clockwise rotation of the atlas is noted.
The MRI features are suggestive of altered signal intensity within the spinal cord at the C6 and C7 vertebral levels.
Such changes may be seen with motor neuron disease and demyelination and the same should be excluded.