Date : 00.00.00
Name of the Patient : Abc Xyzri lmn / F / 10 yrs.
Referred by : Dr. Abc Xyzrmar.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O sudden onset of paraparesis since 1 week.
H/O fever prior to this.
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.
The cervical spinal cord and the upper dorsal spinal cord appears swollen. Hyperintense signal is seen in the centre of the spinal cord on the T2 Weighted images over the cervico-medullary junction till atleast the D8 vertebral level. This is hypointense to the normal cord on the T1 Weighted images. The CSF space is unremarkable.
There is no cord compression.
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 atlanto-axial region is unremarkable.
Incidental note is made of enlarged adenoids.
- 2 - Scan-00003
The MRI features are suggestive of swollen cervical and the upper dorsal spinal cord with altered signal of the spinal cord over the cervico-medullary junction till atleast the D8 vertebral level, centrally is not specific for a single etiology. The differential diagnosis would include,
1. Myelitis (most likely, in the given clinical setting).
2. Demyelination/ischemia (less likely).