Title: Etiological Spectrum of Non-Traumatic Myelopathies in Adults Using MRI at a Tertiary Care Hospital in Jharkhand
Authors: Dr Pughaz Deivigan, Dr Rajeev Kumar Ranjan, Dr Suresh Kumar Toppo, Dr Roopam Kumari, Dr Vijay Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v6i12.137
Abstract
Aims & Objectives: 1] To estimate the prevalence of Non-traumatic Myelopathy. 2] To estimate the percentages of various causes of non traumatic myelopathies. 3] To compare the various causes between different age groups, males and females.
Materials & Methods: 50 Patients with a clinical diagnosis of non-traumatic Myelopathy referred to the Department of Radiology, RIMS, Ranchi during the study period from August 2017 to October 2018 were studied after obtaining consent. Age and sex of the patient were noted. Detailed history and neurological examination was obtained from all the patients. MRI of spine of all patients and MRI of brain of selected patients were carried out. Based on MRI findings alone causes of non-traumatic Myelopathies were categorized.
Results: Among 50 cases of Non-Traumatic Myelopathies, 29 cases (58%) were presented with Paraparesis and 21 cases (42%) were presented with Quadriparasesis. 27(54%) cases were grouped into cord compressive and 20 (40%) were grouped into Non compressive group, while in 3(6%) case no etiology could be found on MRI. Tuberculosis was the major cause in compressive group while Acute Transverse Myelitis was the major cause in Non compressive group.
Conclusion: Quadriplegia and paraplegia are conditions with considerable morbidity and regarded as a disease of constant misery to the patient, family and the society. It is difficult to conclude the diagnosis in spinal cord pathologies on clinical basis alone where imaging particularly MRI plays a major role in diagnosing and classifying the various causes of Non traumatic Myelopathies.
Keywords: Non-traumatic Myelopathies, MRI, Paraparesis, Quadriparasesis.
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