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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.


T1 weighted axial MR showing low signal intensity central lesion.
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MPX2110_synpic27470: T1 weighted axial MR showing low signal intensity central lesion.


Syringomyelia

Messmer CTM - MedPix (2005)

T1 weighted axial MR showing low signal intensity central lesion.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2110_synpic27470: T1 weighted axial MR showing low signal intensity central lesion.

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.