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[Magnetic resonance imaging in spinal cord diseases: 127 cases]
1Service de neurologie, Centre hospitalier universitaire vaudois, Lausanne.
Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|September 1, 1992
Summary
Magnetic resonance imaging (MRI) is highly sensitive for detecting spinal cord lesions, aiding in diagnosing conditions like multiple sclerosis and neoplasms. While MRI is crucial, further laboratory tests are needed for definitive diagnoses.
Area of Science:
- Neurology
- Radiology
- Medical Imaging
Context:
- Spinal cord syndromes, with or without cord compression, present frequent diagnostic challenges in neurology.
- Magnetic resonance imaging (MRI) is a key modality for evaluating the spinal cord.
Purpose:
- To assess the sensitivity of MRI in detecting local spinal cord lesions across various etiologies.
- To identify common locations and diagnoses of spinal cord abnormalities using MRI.
Summary:
- MRI was performed on 127 patients, revealing the cervico-thoracic and cervical regions as most commonly affected.
- Frequent diagnoses included multiple sclerosis plaques (25 cases), cervical canal stenosis/disk disease (23 cases), neoplasms (15 cases), and spinal cord infarctions (12 cases).
- MRI demonstrated high sensitivity for multiple sclerosis and intraspinal lesions like neoplasms, though confirmatory tests are necessary.
Impact:
- Highlights MRI's diagnostic utility in a wide range of spinal cord pathologies.
- Emphasizes the need for integrated diagnostic approaches, combining MRI with laboratory findings for definitive diagnoses.
- Provides insights into the prevalence of different spinal cord conditions detected by MRI.