Magnetic Resonance Imaging Analysis of Caudal Regression Syndrome and Concomitant Anomalies in Pediatric Patients
| Autor: | Dhaval D Dhingani, Shantiranjan Sanyal, Sashidhar Achar, Manoj Gogoi, Deb K Boruah, Kangkana Mahanta, Antony Augustine, Arjun Prakash |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty Intergluteal cleft lcsh:R895-920 Urinary incontinence 030218 nuclear medicine & medical imaging 03 medical and health sciences Dysgenesis Lipomeningomyelocele 0302 clinical medicine Pediatric surgery medicine Fecal incontinence magnetic resonance imaging tethered cord Radiology Nuclear Medicine and imaging Caudal regression syndrome medicine.diagnostic_test business.industry Magnetic resonance imaging medicine.disease Surgery Concomitant Original Article medicine.symptom sacral agenesis business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Clinical Imaging Science, Vol 6, Iss 1, Pp 36-36 (2016) Journal of Clinical Imaging Science |
| ISSN: | 2156-5597 2156-7514 |
| Popis: | Objective:The aim of this study was to evaluate the magnetic resonance imaging (MRI) findings of caudal regression syndrome (CRS) and concomitant anomalies in pediatric patients.Materials and Methods:A hospital-based cross-sectional retrospective study was conducted. The study group comprised 21 pediatric patients presenting to the Departments of Radiodiagnosis and Pediatric Surgery in a tertiary care hospital from May 2011 to April 2016. All patients were initially evaluated clinically followed by MRI.Results:In our study, 21 pediatric patients were diagnosed with sacral agenesis/dysgenesis related to CRS. According to the Pang's classification, 2 (9.5%) patients were Type I, 5 (23.8%) patients were Type III, 7 (33.3%) patients were Type IV, and 7 (33.3%) patients were of Type V CRS. Clinically, 17 (81%) patients presented with urinary incontinence, 6 (28.6%) with fecal incontinence, 9 patients (42.9%) had poor gluteal musculatures and shallow intergluteal cleft, 7 (33.3%) patients had associated subcutaneous mass over spine, and 6 (28.6%) patients presented with distal leg muscle atrophy. MRI showed wedge-shaped conus termination in 5 (23.8%) patients and bulbous conus termination in 3 (14.3%) patients above the L1 vertebral level falling into Group 1 CRS while 7 (33.3%) patients had tethered cord and 6 (28.6%) patients had stretched conus falling into Group 2 CRS.Conclusion:MRI is the ideal modality for detailed evaluation of the status of the vertebra, spinal cord, intra- and extra-dural lesions and helps in early diagnosis, detailed preoperative MRI evaluation and assessing concomitant anomalies and guiding further management with early institution of treatment to maximize recovery. |
| Databáze: | OpenAIRE |
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