Research Article
The Contribution of Magnetic Resonance Imaging (MRI) to the Etiological Diagnosis of Slow Spinal Cord Compression
Issue:
Volume 13, Issue 2, June 2025
Pages:
20-26
Received:
20 May 2025
Accepted:
4 June 2025
Published:
30 June 2025
Abstract: Introduction: The goal of this study was to determine the contribution of Magnetic Resonance Imaging (MRI) in the etiological diagnosis of slow spinal cord compressions. Methods: This was a prospective descriptive study conducted over a period of six months, from August 16, 2023, to February 16, 2024. Results: During the study period, 1082 MRI scans were performed, of which 68 cases (6.28%) were diagnosed with slow spinal cord compressions. The mean age of patients was 51.85 ± 18.87 years, ranging from 3 to 92 years. Males accounted for 72.1% (n = 49), with a sex ratio of 2.57. Most patients were referred by the neurology department (67.6%). The average time to MRI examination after clinical consultation was 2 ± 0.71 days. The most common presenting symptoms were spinal pain and motor disturbances, noted in 70.6% of cases. The cervical and thoracic spinal levels were the most frequently affected, each accounting for more than 41.2% (n = 28) of cases. Extradural lesions were predominant, observed in 83.8% of cases. Degenerative pathologies were the most common cause (44.1%), followed by tumoral lesions (42.6%). Cervicoarthrosic myelopathy was the most frequent radiologic diagnosis, accounting for 33.9% of cases. Conclusion: Slow spinal cord compression is a recurrent spinal cord pathology affecting individuals of all ages, with a male predominance. The extradural compartment is most frequently involved, primarily due to degenerative conditions, especially cervical spondylotic myelopathy. Tumoral lesions, primarly metastatic, represent the second most frequent etiology.
Abstract: Introduction: The goal of this study was to determine the contribution of Magnetic Resonance Imaging (MRI) in the etiological diagnosis of slow spinal cord compressions. Methods: This was a prospective descriptive study conducted over a period of six months, from August 16, 2023, to February 16, 2024. Results: During the study period, 1082 MRI scan...
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Research Article
Congenital Porencephalic Cavity in a Newborn: Scanographic Aspect and Differential Diagnosis - A Case Report at Medpark Clinic
Issue:
Volume 13, Issue 2, June 2025
Pages:
27-30
Received:
5 June 2025
Accepted:
2 July 2025
Published:
31 July 2025
DOI:
10.11648/j.ijmi.20251302.12
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Abstract: Aim: The objective of this study is to clarify the contribution of CT scan in the diagnosis of porencephalic cavities among the range of congenital cerebral cavities. Methods: Congenital porencephalic cavities are rare conditions characterised by the formation of a cyst in the cerebral parenchyma, which causes certain physical symptoms. We present the case of an 18-month-old infant who was referred to our clinic for sudden onset of right spastic hypotonia. Results: The CT scan revealed the presence of a left fronto-parietal cerebral cystic cavity communicating with the ipsilateral lateral ventricle, pointing to the characteristics of a congenital porencephalic cavity. The differential diagnosis included: - Neuroglial cyst;- Schizencephaly; - Arachnoid cyst;- Holoprosencephaly.Conclusion: Due to its rarity and atypical presentation, porencephaly poses a challenge for clinicians. The pathogenesis and treatment of this condition are poorly understood. Imaging is essential for establishing a diagnosis and determining the best treatment option. MRI is the modality of choice for characterising cerebral cystic lesions. In countries with limited resources, CT scanning is a valuable tool for characterising lesions while ruling out other diagnoses.
Abstract: Aim: The objective of this study is to clarify the contribution of CT scan in the diagnosis of porencephalic cavities among the range of congenital cerebral cavities. Methods: Congenital porencephalic cavities are rare conditions characterised by the formation of a cyst in the cerebral parenchyma, which causes certain physical symptoms. We present ...
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Bah Ousmane Aminata
