Cerebral and spinal MR-findings in patients with postrepair myelomeningocele.
In 114 patients with postrepair myelomeningocele MRI of the spine was performed. Tethered cord (89%) and associated malformations (syrinx, lipoma etc.) (33%) were the most important findings. Additional MRI scans of the head (44 patients) revealed numerous further anomalies. Arnold Chiari malformation was found in 76% of the patients (ACM I:32%, ACM II:44%). In the ACM II group compression of lower cranial nerves, brain stem, and cerebellum can lead to considerable neurologic symptoms. Therefore in patients with progressive neurologic dysfunction a complete investigation of the whole spine and brain is necessary. MRI proves to be the diagnostic procedure of choice in patients with dysraphic myelodysplasia.
Just
M
M
Institut für klinische Strahlenkunde, Klinikum der Johannes Gutenberg-Universität, Mainz, FRG.
Schwarz
M
M
Ludwig
B
B
Ermert
J
J
Thelen
M
M
D000293:Adolescent; D000328:Adult; D001921:Brain / Q000002:abnormalities* / Q000473:pathology; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008591:Meningomyelocele / Q000601:surgery*; D008875:Middle Aged; D009436:Neural Tube Defects / Q000175:diagnosis*; D013116:Spinal Cord / Q000002:abnormalities* / Q000473:pathology