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Syringomyelia

Messmer CTM - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Syringomyelia

History: A 6 month old female twin with a urinary tract infection secondary to urinary retention. Pt had normal gestation and birth via Caesarean section.

Findings: Axial CT cross-section shows central hypoattenuated circle surrounded by dilated spinal cord. Reconstituted coronal CT image shows dilated spinal canal at the levels of T7-T11 with well-demarcated central hypoattenuated area, which is isodense to surrounding CSF. Spinal cord extends down to the sacrum with a second hypoattenuated central structure at the level of the thoracolumbar junction. T1 weighted axial MRI shows decreased intensity in the central sac-like area within dilated spinal cord. This same lesion shows increased intensity on T2 weighted images. Screening sagittal images show evidence of a tethered cord. There is no Chiari malformation. There is no evidence of neoplastic process. FLAIR image shows impressive distension of neurogenic bladder.

Ddx: >>Syringomyelia >>Hydromyelia >>Syringohydromyelia >>Post-traumatic spinal cord cyst >>Cyst associated with spinal cord tumor

Dxhow: Imaging

Exam: No evidence of any syndromal disease or phenotypic abnormality. Normal external genitalia. Motor movements appropriate for age

No MeSH data available.


Coronal reconstructed image showing full length of syrinx, isoattenuated to the CSF.  The spinal cord extends down to the sacrum, indicating a tethered cord.
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MPX2110_synpic27432: Coronal reconstructed image showing full length of syrinx, isoattenuated to the CSF. The spinal cord extends down to the sacrum, indicating a tethered cord.


Syringomyelia

Messmer CTM - MedPix (2005)

Coronal reconstructed image showing full length of syrinx, isoattenuated to the CSF.  The spinal cord extends down to the sacrum, indicating a tethered cord.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2110&req=5

MPX2110_synpic27432: Coronal reconstructed image showing full length of syrinx, isoattenuated to the CSF. The spinal cord extends down to the sacrum, indicating a tethered cord.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Syringomyelia

History: A 6 month old female twin with a urinary tract infection secondary to urinary retention. Pt had normal gestation and birth via Caesarean section.

Findings: Axial CT cross-section shows central hypoattenuated circle surrounded by dilated spinal cord. Reconstituted coronal CT image shows dilated spinal canal at the levels of T7-T11 with well-demarcated central hypoattenuated area, which is isodense to surrounding CSF. Spinal cord extends down to the sacrum with a second hypoattenuated central structure at the level of the thoracolumbar junction. T1 weighted axial MRI shows decreased intensity in the central sac-like area within dilated spinal cord. This same lesion shows increased intensity on T2 weighted images. Screening sagittal images show evidence of a tethered cord. There is no Chiari malformation. There is no evidence of neoplastic process. FLAIR image shows impressive distension of neurogenic bladder.

Ddx: >>Syringomyelia >>Hydromyelia >>Syringohydromyelia >>Post-traumatic spinal cord cyst >>Cyst associated with spinal cord tumor

Dxhow: Imaging

Exam: No evidence of any syndromal disease or phenotypic abnormality. Normal external genitalia. Motor movements appropriate for age

No MeSH data available.