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C-0649 - MRI features of Spinal Fluorosis

S. Raghu Teja1, v. sandeep2, B. N. CHANDER3; 1 Gannavaram, Vijayawada/IN 2 Gannavaram/IN 3 CHINNAVUTAPALLI/IN Type: Educational Exhibit
Area of Interests: Bones, Hematologic, Musculoskeletal spine
Imaging Technique: MR
Procedures: Imaging sequences, Education
Special Focuses: Hematologic diseases, Calcifications / Calculi, Epidemiology
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Learning objectives: Skeletal fluorosis is bone disease caused by excessive consumption of fluoride. In endemic countries it is due to fluoride laden water derived from bore wells dug deep into the earth (Chronic poisoning).It may also occur in aluminum smelting industries. In this exhibit, we describe the MRI features[...]

Background: Flourosis results in an osteocondensation by altering bone mass through effects on skeletal mineralization, impaired bone resorption and ion induced decreased bone strength. These are all contradictory effects leading to a combination of osteosclerosis, stress fractures, ligamentous calcification,[...]

Findings and procedure details: The present study is done on 1.5 Tesla 16 channel MRI. Imaging of spine demonstrated fluorotic vertebrae to be hypo intense in both T1 and T2W images. There is clear demonstration of localized areas of hypertrophy and ossifications of ligaments that guide for the optimal surgical approach. Cord com[...]

Conclusion: MRI can serve as a tool for early diagnosis and planning proper surgical intervention in symptomatic patients by optimal visualization of soft tissue and spinal cord changes and the associated abnormalities. The most frequent findings include generalized vertebral sclerosis, ligamentum flavum hyper[...]

Personal information:   S. RAGHU TEJA, Dr PSIMS & RF, Vijayawada, India Velicheti Sandeep- Asst.Professor, B.N.Chander- Professor of PSIMS& RF, Chinoutpally, India

References: Iftekhar Ahmed, Saba Sohail et al, MRI features of spinal Fluorosis: Results of an endemic community screening. Pak J Med Sci 2013 Vol. 29 No. 1. D. Raja Reddy, Neurology of endemic skeletal fluorosis. Neurology India Jan-Feb 2009 | Vol 57 | Issue 1. Gupta RK, Agarwal P Compressive myelopathy [...]

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