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[Magnetic resonance imaging in spinal dysraphisms]
M R de Souza1, J P Plese, H Matushita
1Departamento de Neurologia, Faculdade de Medicina, Universidade de São Paulo (FMUSP), Brasil.
Arquivos De Neuro-Psiquiatria
|June 1, 1994
Summary
Magnetic resonance imaging (MRI) reveals frequent, often asymptomatic, associated malformations in patients with spina bifida. These include tethered cord, syringomyelia, and Chiari malformations, highlighting the need for comprehensive screening.
Area of Science:
- Neurology
- Radiology
- Pediatrics
Context:
- Spina bifida is a complex congenital condition.
- Associated malformations can impact patient outcomes.
- Early detection is crucial for effective management.
Purpose:
- To investigate the incidence of associated malformations in patients with spina bifida using MRI.
- To identify common co-occurring conditions in both spina bifida aperta and occulta.
- To assess the frequency of craniocervical abnormalities in spina bifida aperta.
Summary:
- MRI screening of 38 spina bifida patients (22 aperta, 16 occulta) revealed high rates of associated malformations.
- Tethered cord was prevalent in most patients.
- Syringomyelia occurred in 13 patients, and 8 of 11 spina bifida aperta patients had Chiari malformations.
Impact:
- MRI detects frequent, often asymptomatic, secondary malformations in spina bifida patients.
- Findings underscore the importance of advanced imaging for comprehensive patient assessment.
- Results suggest routine MRI screening protocols may be beneficial for early intervention.