Imaging spectrum of spinal dysraphism: A diagnostic challenge

Spinal dysraphism (SD) is a collective term for congenital malformations of the spine and spinal cord. It includes a wide range of congenital anomalies resulting from aberrations in the stages of gastrulation, primary neurulation and secondary neurulation. Spinal dysraphism may lead to neurological...

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Main Authors: Mohit K. Shrivastva, Mousam Panigrahi
Format: Article
Language:English
Published: AOSIS 2023-11-01
Series:South African Journal of Radiology
Subjects:
Online Access:https://sajr.org.za/index.php/sajr/article/view/2747
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author Mohit K. Shrivastva
Mousam Panigrahi
author_facet Mohit K. Shrivastva
Mousam Panigrahi
author_sort Mohit K. Shrivastva
collection DOAJ
description Spinal dysraphism (SD) is a collective term for congenital malformations of the spine and spinal cord. It includes a wide range of congenital anomalies resulting from aberrations in the stages of gastrulation, primary neurulation and secondary neurulation. Spinal dysraphism may lead to neurological impairment of varying severity including weakness of the extremities, incontinence of bowel and bladder, sexual dysfunction, among others. Diagnosis of SDs is quite challenging because of its wide spectrum and complex cascade of embryologic events. Knowledge of normal embryology and proper understanding of imaging features of SD are important for early accurate diagnosis. Contribution: This series of five cases describes the imaging spectrum of spinal dysraphism and highlights the embryological basis for their development, which could facilitate early correct diagnosis, surgical planning and reduced morbidity related to these malformations. It also includes an extremely rare case of complex spinal dysraphism (Type II diastematomyelia with right hemimyelomeningocoele and left hemilipomyelomeningocoele) with Chiari II malformation.
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spelling doaj.art-113a8b5f45db4b81861a1409f7e890f22023-12-04T08:10:43ZengAOSISSouth African Journal of Radiology1027-202X2078-67782023-11-01271e1e710.4102/sajr.v27i1.27471241Imaging spectrum of spinal dysraphism: A diagnostic challengeMohit K. Shrivastva0Mousam Panigrahi1Department of Radiodiagnosis, Rohilkhand Medical College and Hospital, Bareilly, Uttar PradeshDepartment of Radiodiagnosis, Rohilkhand Medical College and Hospital, Bareilly, Uttar PradeshSpinal dysraphism (SD) is a collective term for congenital malformations of the spine and spinal cord. It includes a wide range of congenital anomalies resulting from aberrations in the stages of gastrulation, primary neurulation and secondary neurulation. Spinal dysraphism may lead to neurological impairment of varying severity including weakness of the extremities, incontinence of bowel and bladder, sexual dysfunction, among others. Diagnosis of SDs is quite challenging because of its wide spectrum and complex cascade of embryologic events. Knowledge of normal embryology and proper understanding of imaging features of SD are important for early accurate diagnosis. Contribution: This series of five cases describes the imaging spectrum of spinal dysraphism and highlights the embryological basis for their development, which could facilitate early correct diagnosis, surgical planning and reduced morbidity related to these malformations. It also includes an extremely rare case of complex spinal dysraphism (Type II diastematomyelia with right hemimyelomeningocoele and left hemilipomyelomeningocoele) with Chiari II malformation.https://sajr.org.za/index.php/sajr/article/view/2747spinal dysraphismmyelomeningocoelelipomyelomeningocoelelipomyelocoelediastematomyeliahemimyelomeningocoelecaudal regression syndromedorsal dermal sinus
spellingShingle Mohit K. Shrivastva
Mousam Panigrahi
Imaging spectrum of spinal dysraphism: A diagnostic challenge
South African Journal of Radiology
spinal dysraphism
myelomeningocoele
lipomyelomeningocoele
lipomyelocoele
diastematomyelia
hemimyelomeningocoele
caudal regression syndrome
dorsal dermal sinus
title Imaging spectrum of spinal dysraphism: A diagnostic challenge
title_full Imaging spectrum of spinal dysraphism: A diagnostic challenge
title_fullStr Imaging spectrum of spinal dysraphism: A diagnostic challenge
title_full_unstemmed Imaging spectrum of spinal dysraphism: A diagnostic challenge
title_short Imaging spectrum of spinal dysraphism: A diagnostic challenge
title_sort imaging spectrum of spinal dysraphism a diagnostic challenge
topic spinal dysraphism
myelomeningocoele
lipomyelomeningocoele
lipomyelocoele
diastematomyelia
hemimyelomeningocoele
caudal regression syndrome
dorsal dermal sinus
url https://sajr.org.za/index.php/sajr/article/view/2747
work_keys_str_mv AT mohitkshrivastva imagingspectrumofspinaldysraphismadiagnosticchallenge
AT mousampanigrahi imagingspectrumofspinaldysraphismadiagnosticchallenge