Name of the Patient : Abc Xyzr Slmn / M / 24 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
H/O fall from a height 1 month back with atlanto-axial dislocation and cervical cord injury.
Left frontal burrhole for EDH performed.
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 coronal images.
There is evidence of a fracture line coursing through the right lateral mass and body of the C2 vertebra. Hypointense areas on the T1 Weighted images which turn hyperintense on the T2 Weighted and Fast Scan (T2 *) images is seen within the right lateral mass, body and odontoid process of the C2 vertebra and this may represent bone edema. Small areas of hypointensity on the T1 Weighted images which turn hyperintense on the T2 Weighted and Fast Scan (T2 *) images is seen within the prevertebral space at the C1/C2 levels and this may represent soft tissue edema (?? haemorrhage).
Mild posterior disc bulges with small peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
The cervical intervertebral discs show loss of water content.
There is no evidence of any atlanto-axial dislocation. The atlanto-dens distance does not change on the flexion and extension images of the cervical spine (sagittal plane).
The brain was screened with 5 mm thick T2 Weighted axial images and shows mild fullness of the ventricular system. A burr hole is noted in the left frontal region.
The rest of the cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The cervico-medullary junction is unremarkable.
In a known C/O trauma the MRI features are suggestive of a fracture of the C2 vertebra as described.