Aims and objectives
POTT’S SPINE TUBERCULOSIS
INTRODUCTION:
Tuberculosis is the ninth leading cause of death worldwide and the leading cause from a single infectious agent,
ranking above HIV/AIDS(As per WHO sources).Tuberculosis is a major cause of concern in developing countries. Spinal tuberculosis,
as one of its manifestations,
too has acquired greater magnitude and has a noticeable presence even in the developed countries.
Spinal tuberculosis accounts for about 2% of all cases of tuberculosis,
15% of the cases of extra pulmonary tuberculosis and 50% of the cases of skeletal...
Methods and materials
Materials and methods
MR images of proven cases of spinal tuberculosis who attended our hospital,Vydehi Institiute of Medical Sciences and Research centre,Whitefield,Bangalore were analyzed.
The pattern,
extent,
soft tissue involvement and associated MRI features were studied.
Magnetic Resonance Imaging
MRI spine was taken using a 1.5Tesla Philips Achieva machine.
The sequences that were performed at our hospital for all cases of spine imaging are,
T1W,T2W ,STIR,TIRM and contrast enhanced fat suppressed T1W images .Gadodiamide at a dose of0.1mmol per kilogram of body weight was used...
Results
MRI images of patients are shown with various findings-
Fig 1.
T2 sagittal section of the lumbosacral spine shows lesion at the level of L3 and L4 vertebral level.
The image shows paradiscal involvement with irregularity at the inferior endplate of L3 ,superior endplate of L4 vertebra and reduction of intervertebral disc space.
Fig 2 and 3.T2 and TI weighted sagittal section of spine
The image shows T2 weighted hyperintense and T1 weighted hypointense collection noted at L3-4level,
involving the inferior endplate of L3 and...
Conclusion
Magnetic resonance imaging (MRI) is the imaging modality of choice for Pott's spine and is more sensitive than other modalities and is the best in identifying the different patterns,
the soft tissue involvement,
associated complications and cord abnormalities.
Personal information
Dr.
Kartikey Tyagi
Resident in the Department of Radiology
Vydehi Institute of Medical Sciences and Research Centre
#82,
Nallurahalli,
Near BMTC 18th depot,
Whitefield,
Bangalore-560066
Karnataka,
India
Contact:
[email protected]
Dr.
Mary Varunya
Senior Resident inthe Department of Radiology
Vydehi Institute of Medical Sciences and Research Centre#82,
Nallurahalli,
Near BMTC 18th depot,
Whitefield,
Bangalore-560066
Karnataka,
India
Dr.
Abishek Balachandran
Assistant Professorinthe Department of Radiology
Vydehi Institute of Medical Sciences and Research Centre#82,
Nallurahalli,
Near BMTC 18th depot,
Whitefield,
Bangalore-560066
Karnataka,
India
Dr.
Suresh Ashwathappa
Associate Professorinthe...
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