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C-0061 - MRI findings of neurological complications of spinal tuberculosis -“Old disease revisited with a modern tool”

A. Pallewatte1, N. Wickremasinghe2; 1 GAMPAHA/LK 2 Colombo/LK Type: Educational Exhibit
Area of Interest: Neuroradiology spine
Imaging Technique: MR
Procedure: Diagnostic procedure
Special Focuses: Tropical diseases, Infection
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Learning objectives: 1. Epidemiology of Tuberculosis (TB) and microbiological diagnosis. 2. Clinical presentation and pathophysiology of neurological complications. 3. Imaging features of spinal TB with special emphasis on MRI findings. 4. Identify epidural abscesses, TB myelitis, radiculitis and arachnoiditis.  [...]

Background: Spinal Tuberculosis (STB) is a common disease specially in  tropics and developing world. STB can involve any part of spine and neurological complications occur when it involves nerve roots, neural canal, spina; cord etc. These are best assessed  with MRI  due to its high soft tissue[...]

Findings and procedure details: The commonest vertebral level of STB involvement was at L4/5, followed by L5/S1. L5 was the most commonly involved vertebral body. Single level involvement was commoner than multiple or contiguous involvement (68.8%). 31.2% of the patients studied had multiple vertebral level involvements with 79.4[...]

Conclusion: Spinal Tuberculosis involvement is commonest at L4/5 level. The neurological complications are found in 20-­30% of affected patients. Our study shows that the lower lumbar vertebrae were more commonly involved rather than thoracic and upper lumbar levels as suggested by other studies. [1,2,3] The [...]

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References: 1.Yasaratne BMGD, Wijesinghe SNR, Madegedara RMD, Spinal tuberculosis: A study of the disease pattern, diagnosis and outcome of medical management in Sri Lanka. Indian J Tuberc 2013; 60: 208-216. 2.Bajwa GR. Evaluation of the role of MRI in spinal Tuberculosis: A study of 60 cases. Pak J Med Sci 200[...]

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