Date : 00.00.00
Name of the Patient : Abc Xlmn / F / 10 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Cervical Spine.
C/O quadriparesis with bladder involvement since 6 days.
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.
4 mm thick T1 Weighted coronal images.
There is basilar invagination and the tip of the odontoid process shows superior migration with compression upon the cervico-medullary junction. There is a hyperintense signal in the cervico-medullary junction at this level on the T2 Weighted and Fast Scan (T2 *) images which is isointense to normal cord on the T1 Weighted images suggestive of cord edema/ischemia.
The clivus is placed horizontally and there is occipitalization of the atlas.
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. The left facet joint is hypertrophied at the C3-C4 level.
Enlarged lymphnodes are noted deep to the sternocleidomastoid muscle, bilaterally.
The MRI features are suggestive of basilar invagination with the tip of the odontoid process compressing upon the cervico-medullary junction with cord signal alteration at this level suggestive of cord edema/ischemia. The C1 is occipitalized.