Date : 00.00.00
Name of the Patient : Abc XyzGlmn / M / 14 yrs.
Referred by : Dr. Abc XyzV. Shah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with stiffness of the neck and wasting of BUE and BLE since 6 months.
Alleged H/O fall 5-6 years back.
M.R.I of the cervical spine was performed using the following parameters :
4 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 sagittal images in flexion and extension were also obtained.
There is a congenital block C4/C5 vertebra.
There is atlanto-dens subluxation with the atlanto-dens interval measuring approximately 1.4 cms in the neutral position. Resultant compression of the cervical spinal cord at the C1-C2 level is noted. The cervical spinal cord at the C1 and C2 levels shows a hyperintense signal on the T2 Weighted and Fast Scan (T2 *) images which suggests cord edema/ischemia/gliosis. The rest of the visualized cervical spinal cord also appears slightly smaller in calibre than normal.
Minimal posterior disc bulges are noted at the C2-C3 and C3-C4 levels.
The cervical vertebral bodies show normal signal intensity. The upper cervical intervertebral discs show loss of water content. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The flexion and extension images do not show any significant change in the atlanto-dens interval.
The MRI features suggest atlanto-dens subluxation with the atlanto-dens interval measuring approximately 1.4 cms in the neutral position. Resultant compression of the cervical spinal cord at the C1-C2 level is noted with cord signal alteration suggesting cord edema/ischemia/gliosis.