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Intramedullary tubercular abscess with syrinx formation.

Khalid M, Khalid S, Mittal S, Ahmad U - J Pediatr Neurosci (2012)

Bottom Line: Intramedullary spinal cord tubercular abscess with involvement of whole cord is a rare entity that too with syrinx formation following disseminated meningitis.Accurate diagnosis requires a high index of suspicion with clinical history and imaging features for a favorable outcome.Here-in we present a similar case with tubercular etiology which was also associated with syrinx formation and has not been reported previously in the literature up to the author's knowledge.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, J N Medical College, AMU, Aligarh, Uttar Pradesh, India.

ABSTRACT
Intramedullary spinal cord tubercular abscess with involvement of whole cord is a rare entity that too with syrinx formation following disseminated meningitis. Accurate diagnosis requires a high index of suspicion with clinical history and imaging features for a favorable outcome. Here-in we present a similar case with tubercular etiology which was also associated with syrinx formation and has not been reported previously in the literature up to the author's knowledge.

No MeSH data available.


Related in: MedlinePlus

Sagittal T2-weighted sequence showing expansion of cord and dilated central canal from cervicomedullary junction to C7 with hyperintense signals from intramedullary portion of cord signifying liquefaction from D1 to D6 level
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Figure 2: Sagittal T2-weighted sequence showing expansion of cord and dilated central canal from cervicomedullary junction to C7 with hyperintense signals from intramedullary portion of cord signifying liquefaction from D1 to D6 level

Mentions: MRI investigation revealed expansion of cord and dilated central canal with altered signal intensity in cord parenchyma ranging from the cervicomedullary junction to conus medullaris, which was iso- to hypointense on T1, heterogeneously hyperintense on T2WI. T1 fat suppressed Gadolinium-enhanced sequences revealed peripheral enhancement with central hypointense areas from D6 vertebral level to conus medullaris consistent with inflammatory collection [Figures 1 and 2]. It also showed significant syrinx formation from D1 to D6 vertebral level with evidence of altered signal intensity in cord parenchyma [Figure 3]. His brain MRI also revealed significant communicating hydrocephalus.


Intramedullary tubercular abscess with syrinx formation.

Khalid M, Khalid S, Mittal S, Ahmad U - J Pediatr Neurosci (2012)

Sagittal T2-weighted sequence showing expansion of cord and dilated central canal from cervicomedullary junction to C7 with hyperintense signals from intramedullary portion of cord signifying liquefaction from D1 to D6 level
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3401660&req=5

Figure 2: Sagittal T2-weighted sequence showing expansion of cord and dilated central canal from cervicomedullary junction to C7 with hyperintense signals from intramedullary portion of cord signifying liquefaction from D1 to D6 level
Mentions: MRI investigation revealed expansion of cord and dilated central canal with altered signal intensity in cord parenchyma ranging from the cervicomedullary junction to conus medullaris, which was iso- to hypointense on T1, heterogeneously hyperintense on T2WI. T1 fat suppressed Gadolinium-enhanced sequences revealed peripheral enhancement with central hypointense areas from D6 vertebral level to conus medullaris consistent with inflammatory collection [Figures 1 and 2]. It also showed significant syrinx formation from D1 to D6 vertebral level with evidence of altered signal intensity in cord parenchyma [Figure 3]. His brain MRI also revealed significant communicating hydrocephalus.

Bottom Line: Intramedullary spinal cord tubercular abscess with involvement of whole cord is a rare entity that too with syrinx formation following disseminated meningitis.Accurate diagnosis requires a high index of suspicion with clinical history and imaging features for a favorable outcome.Here-in we present a similar case with tubercular etiology which was also associated with syrinx formation and has not been reported previously in the literature up to the author's knowledge.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, J N Medical College, AMU, Aligarh, Uttar Pradesh, India.

ABSTRACT
Intramedullary spinal cord tubercular abscess with involvement of whole cord is a rare entity that too with syrinx formation following disseminated meningitis. Accurate diagnosis requires a high index of suspicion with clinical history and imaging features for a favorable outcome. Here-in we present a similar case with tubercular etiology which was also associated with syrinx formation and has not been reported previously in the literature up to the author's knowledge.

No MeSH data available.


Related in: MedlinePlus