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Intraspinal extension, tethered cord in 2-week-old

Case Study
Wang, Chen, M.D., Ph.D. Stockholm, Astrid Lindgren Children's Hospital
Ehnmark, Bo Stockholm, Astrid Lindgren Children's Hospital

Patient history

A two-week-old infant was referred to Astrid Lindgren Children's Hospital, Stockholm, Sweden, for an MRI examination of a skin lesion in the midline of the lower back. Such a lesion can be suspicious of a meningomyelocele. Often covered by skin, a meningomyelocele can result in a tethered cord, a neurological disorder caused by tissue attachments that limit spinal cord movement.

MR examination

The in Achieva 1.5T with the Pediatric SENSE Head/Spine coil was used. The patient was examined using the Feed-and-Sleep protocol, which requires a rapid study not exceeding 30 minutes to ensure a reasonable likelihood that the patient will remain asleep.

Images

 

The MRI images show the dermal sinus with intraspinal extension and tethered cord.

Diagnosis:

MR results confirm the dermal sinus with intraspinal extension and tethered cord.

The resultant stretching of the spinal cord as the baby grows interferes with nerve function.  In children, symptoms may include lesions and hairy patches, in addition to leg weakness, lower back pain, incontinence and loss of bowel control. If the disorder is not addressed, symptoms will progress.

Clinical impact of the Pediatric SENSE Head/Spine coil 1.5T :

With Achieva's ability to adjust the FOV while maintaining the same voxel size, Achieva 1.5T with Pediatric SENSE Head/Spine coil has provided excellent visualization and high resolution in infant head and spine imaging.

 

The Pediatric SENSE Head/Spine coil comes with a special mattress that enables precise positioning of the coil centered on the patient table. The coil's small elements, integrated design and light weight have provided an easier way to use.



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Jul 23, 2010

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Case Study
Achieva 1.5T
Release 2
Cervical spine, Lumbar spine, Neuro, newborn, Pediatric, Pediatric SENSE Head/Spine coil, tethered cord, Thoracic spine, Total spine
 

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