Document Detail


Diffusion tensor tractography demonstration of partially injured spinal cord tracts in a patient with posttraumatic Brown Sequard syndrome.
MedLine Citation:
PMID:  20882629     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors report the utility of diffusion tensor tractography in demonstrating the partially severed spinal cord tracts on one side with normal, intact, distally traceable tracts on the opposite side in a patient with posttraumatic Brown Sequard syndrome. A 30-year-old man presented with typical clinical features of a hemisection injury of the thoracic spinal cord, 2 months after he had sustained a back stab injury. Routine MRI showed T2 hyperintense zones in the thoracic spinal cord at the level of T5. We did axial single shot echo planar diffusion tensor imaging with a 1.5 Tesla MR machine. Tractography effectively depicted the injured spinal cord tracts on the left side with normal intact tracts on the right side, which could be traced distally. The fractional anisotropy and apparent diffusion coefficient values showed significant changes at the level of injury. Tractographic demonstration of human spinal cord injury is reported for the first time.
Authors:
Shanmughanathan Rajasekaran; Rishi Mugesh Kanna; Rajamanickam Karunanithi; Ajoy Prasad Shetty
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  32     ISSN:  1522-2586     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-30     Completed Date:  2011-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  978-81     Citation Subset:  IM    
Affiliation:
The Department of Orthopaedics, Traumatology, and Spine Surgery, Ganga Hospital, Coimbatore, India. sr@gangahospital.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Anisotropy
Brown-Sequard Syndrome / pathology*
Diffusion
Diffusion Tensor Imaging / methods*
Humans
Image Processing, Computer-Assisted
Magnetic Resonance Imaging / methods*
Male
Spinal Cord / pathology
Spinal Cord Injuries / pathology*
Thoracic Vertebrae / pathology
Wounds, Penetrating / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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