SPECTRUM OF MAGNETIC RESONANCE IMAGING IN MOVEMENT DISORDER
Background Movement disorders share an overlapping manifestation in many cases making a clinical diagnosis alone challenging. There are no standard objective tests available for the diagnosis currently. This study attempts to illustrate the comprehensive magnetic resonance imaging (MRI) spectrum...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Student's Journal of Health Research
2023-06-01
|
Series: | Student's Journal of Health Research Africa |
Subjects: | |
Online Access: | https://sjhresearchafrica.org/index.php/public-html/article/view/452 |
_version_ | 1797791327796068352 |
---|---|
author | Patel Dhruv Pankajbhai Beena Devi Agarwal Satya Sunder Gajendra Mohapatra Somadatta Das |
author_facet | Patel Dhruv Pankajbhai Beena Devi Agarwal Satya Sunder Gajendra Mohapatra Somadatta Das |
author_sort | Patel Dhruv Pankajbhai |
collection | DOAJ |
description |
Background
Movement disorders share an overlapping manifestation in many cases making a clinical diagnosis alone challenging. There are no standard objective tests available for the diagnosis currently. This study attempts to illustrate the comprehensive magnetic resonance imaging (MRI) spectrum of brain abnormalities in patients with different movement disorders and to observe the agreement of clinical and radiological diagnosis.
Methodology
A descriptive cross-sectional study was conducted in a tertiary care teaching hospital over two years from 2020 to 2022. The study will include 50 patients with all patients with movement abnormalities were prescribed to get an MRI.
Results
The most commonly affected site was substantia nigra seen in 19 cases (38%), followed by midbrain in 10 cases (20%), putamen in 9 patients (18%), and caudate in 5 patients (10%). Most patients had absent swallow tail signs (38%), forming a diagnosis of Parkinson’s disease. The Hummingbird sign of PSP was observed in 6 patients (12%). Only one patient had a box-like configuration which is seen in Huntington’s disease. Clinico- radiological correlation was 72%. The diagnostic validity of the MRI in identifying movement disorders was 100% specific, with varying sensitivity for all.
Conclusion
MRI is currently the preferred modality for diagnosing movement disorders, owing to its ability to provide details on the structural pathologies of the brain with high resolution and sensitivity. The present study's findings corroborated with the results of previously worldwide conducted studies. A significant agreement was observed between the clinical and radiological diagnoses.
|
first_indexed | 2024-03-13T02:17:13Z |
format | Article |
id | doaj.art-a59b71fa391e4aeda719ec71c87c7b73 |
institution | Directory Open Access Journal |
issn | 2709-9997 |
language | English |
last_indexed | 2024-03-13T02:17:13Z |
publishDate | 2023-06-01 |
publisher | Student's Journal of Health Research |
record_format | Article |
series | Student's Journal of Health Research Africa |
spelling | doaj.art-a59b71fa391e4aeda719ec71c87c7b732023-06-30T11:43:28ZengStudent's Journal of Health ResearchStudent's Journal of Health Research Africa2709-99972023-06-014610.51168/sjhrafrica.v4i6.452SPECTRUM OF MAGNETIC RESONANCE IMAGING IN MOVEMENT DISORDERPatel Dhruv Pankajbhai0Beena Devi Agarwal1Satya Sunder Gajendra Mohapatra2Somadatta Das3Department of Radiodiagnosis, Institute of Medical Sciences and Sum Hospital, Siksha ‘O’ Anusandhan Deemed to be University, Odisha, IndiaDepartment of Radiology, Institute of Medical Sciences and SUM Hospital, Siksha O Anusandhan deemed to be University, BhubaneswarDepartment of Radiodiagnosis, Institute of Medical Sciences and Sum Hospital, Siksha ‘O’ Anusandhan Deemed to be University, Odisha, IndiaDepartment of Radiodiagnosis, Institute of Medical Sciences and Sum Hospital, Siksha ‘O’ Anusandhan Deemed to be University, Odisha, India Background Movement disorders share an overlapping manifestation in many cases making a clinical diagnosis alone challenging. There are no standard objective tests available for the diagnosis currently. This study attempts to illustrate the comprehensive magnetic resonance imaging (MRI) spectrum of brain abnormalities in patients with different movement disorders and to observe the agreement of clinical and radiological diagnosis. Methodology A descriptive cross-sectional study was conducted in a tertiary care teaching hospital over two years from 2020 to 2022. The study will include 50 patients with all patients with movement abnormalities were prescribed to get an MRI. Results The most commonly affected site was substantia nigra seen in 19 cases (38%), followed by midbrain in 10 cases (20%), putamen in 9 patients (18%), and caudate in 5 patients (10%). Most patients had absent swallow tail signs (38%), forming a diagnosis of Parkinson’s disease. The Hummingbird sign of PSP was observed in 6 patients (12%). Only one patient had a box-like configuration which is seen in Huntington’s disease. Clinico- radiological correlation was 72%. The diagnostic validity of the MRI in identifying movement disorders was 100% specific, with varying sensitivity for all. Conclusion MRI is currently the preferred modality for diagnosing movement disorders, owing to its ability to provide details on the structural pathologies of the brain with high resolution and sensitivity. The present study's findings corroborated with the results of previously worldwide conducted studies. A significant agreement was observed between the clinical and radiological diagnoses. https://sjhresearchafrica.org/index.php/public-html/article/view/452Magnetic resonance imagingmovement disordersParkinson’s disease |
spellingShingle | Patel Dhruv Pankajbhai Beena Devi Agarwal Satya Sunder Gajendra Mohapatra Somadatta Das SPECTRUM OF MAGNETIC RESONANCE IMAGING IN MOVEMENT DISORDER Student's Journal of Health Research Africa Magnetic resonance imaging movement disorders Parkinson’s disease |
title | SPECTRUM OF MAGNETIC RESONANCE IMAGING IN MOVEMENT DISORDER |
title_full | SPECTRUM OF MAGNETIC RESONANCE IMAGING IN MOVEMENT DISORDER |
title_fullStr | SPECTRUM OF MAGNETIC RESONANCE IMAGING IN MOVEMENT DISORDER |
title_full_unstemmed | SPECTRUM OF MAGNETIC RESONANCE IMAGING IN MOVEMENT DISORDER |
title_short | SPECTRUM OF MAGNETIC RESONANCE IMAGING IN MOVEMENT DISORDER |
title_sort | spectrum of magnetic resonance imaging in movement disorder |
topic | Magnetic resonance imaging movement disorders Parkinson’s disease |
url | https://sjhresearchafrica.org/index.php/public-html/article/view/452 |
work_keys_str_mv | AT pateldhruvpankajbhai spectrumofmagneticresonanceimaginginmovementdisorder AT beenadeviagarwal spectrumofmagneticresonanceimaginginmovementdisorder AT satyasundergajendramohapatra spectrumofmagneticresonanceimaginginmovementdisorder AT somadattadas spectrumofmagneticresonanceimaginginmovementdisorder |