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...

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Main Authors: Patel Dhruv Pankajbhai, Beena Devi Agarwal, Satya Sunder Gajendra Mohapatra, Somadatta Das
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
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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.
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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