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A syrinx is suggested by an unexplained central cord syndrome or other characteristic neurologic deficits, particularly pain and temperature sensory deficits in a capelike distribution. MRI of the entire spinal cord and brain is done. Administration of intravenous Gadolinium during the MRI examination is useful for detecting any associated tumor.
Syringomyelia is a generic term referring to a disorder in which a cyst or cavity forms within the spinal cord. Often, ... (MRI) to diagnose syringomyelia. The MRI ...
A fluid-filled lesion forms, known as a syrinx. [1] This can vary in size significantly between patients. [1] Nerve fibres may be compressed where they cross the midline, or in other parts of the spinal cord. [1] Cranial nerves may be affected. [3] Syringobulbia may be associated with syringomyelia, a syrinx limited to the spinal cord. [4]
The MRI visualizes neural tissue such as the cerebellar tonsils and spinal cord as well as bone and other soft tissues. CT and CT myelography are other options and were used prior to the advent of MRI, unfortunately the resolution of CT based modalities do not characterize syringomyelia and other neural abnormalities as well. [26]
Diffusion imaging is an MRI method that produces in vivo magnetic resonance images of biological tissues sensitized with the local characteristics of molecular diffusion, generally water (but other moieties can also be investigated using MR spectroscopic approaches). [15] MRI can be made sensitive to the motion of molecules.
MRI imaging appears to be the gold standard for diagnosing a tethered cord. [16] [17] A tethered cord is often diagnosed as a "low conus". The conus medullaris (or lower termination of the spinal cord) normally terminates at or above the L1-2 disk space (where L1 is the first, or topmost lumbar vertebra). After about 3 months of age, a conus ...
In CT scan, subdural hygroma will have same density as the normal CSF. Meanwhile, in MRI, subdural hygroma will have same intensity with CSF. If iodinated contrast is administered during CT scan, the hygroma will produce high density because of the contrast at 120 kVp. However, at 190 kVp, hygroma with contrast will have intermediate density. [2]
Empty sella in MRI. The diagnosis of empty sella syndrome, done via examination (and test), may be linked to early onset of puberty, growth hormone deficiency, or pituitary gland dysfunction (at an early age). [2] Additionally there is: CT scan [6] MRI scans [6]