6533b826fe1ef96bd1283d0d

RESEARCH PRODUCT

Cerebral and spinal MR-findings in patients with postrepair myelomeningocele

Manfred ThelenJ. A. ErmertB LudwigM. JustManfred Schwarz

subject

Adultmedicine.medical_specialtyCerebellumMeningomyeloceleAdolescentHumansMedicineRadiology Nuclear Medicine and imagingSyrinx (medicine)In patientNeural Tube DefectsChildTethered CordNeuroradiologybusiness.industryCranial nervesBrainInfantMiddle AgedLipomamedicine.diseaseMagnetic Resonance ImagingSurgerymedicine.anatomical_structureSpinal CordChild PreschoolPediatrics Perinatology and Child HealthArnold chiaribusinessFollow-Up Studies

description

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.

https://doi.org/10.1007/bf02019662