Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 23 yrs.
Referred by : Dr. Abc Xyzzzare.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O headaches, vomiting since 10 days.
C/O visual loss on the right side and decreased vision on the left side since 5 days.
C/O bladder retention since 3 days.
H/O delivery 2 months back.
M.R.I of the cervico-dorsal 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 dorsal spine was screened with 4 mm thick T2 Weighted sagittal images and 10 mm thick T2 Weighted axial images.
There is a hyperintense area within the centre of the spinal cord extending over the D3 to D9 vertebral levels on the T2 Weighted and Fast Scan (T2 *) images. Subtle hyperintense signal is also noted in the anterior and posterior columns at the D2 and C7-D1 levels. This is isointense to cord on the T1 Weighted images. The CSF space is unremarkable.
Subtle hypointense signal is seen within the D1 vertebral body on the T1 Weighted images which is isointense to marrow on the T1 Weighted images.
Small posterior disc bulge is noted at the C4-C5 level. The upper cervical intervertebral discs show slight loss of water content.
The rest of the visualized cervico-dorsal vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
Altered signal within the centre of the spinal cord extending over the D3 to D9 vertebral levels and in the anterior and posterior columns at the D2 and C7-D1 levels could be due to demyelination/myelitis.
The MRI findings are consistent with the clinical diagnosis of Devics disease.