Browsing by Author "Assefa, Getachewu(MD,Professor of Radiology,AAU)"

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    Cross Sectional Study on Magnetic Resonance Image Finding of Syrnix and Associated Lesions in Addis Abeba University Tikur Anbesa Specialized Hospital and Saint Pouls Medical Millinium Collage,Addis abeba,Ethiopia From September 2018-September 2019.
    (Addis Ababa University, 2019-09) Dr.Juhar, Bargicho(MD, Radiology Resident); Assefa, Getachewu(MD,Professor of Radiology,AAU)
    Syringomyelia is a disorderinvolving the spinal cord which is abnormal accumulation of CSF in the spinal cord . Pathologically, it ischaracterized by the presence of longitudinally oriented cavities and gliosis. Theterm "hydromyelia" has been used to describe the appearance of dilatation of thecentral canal of the spinal cord while the term "syringomyelia" has been reservedfor cavities independent of the central canal .From a practical viewpoint, it isimpossible to differentiate most cases of true hydromyelia from those of truesyringomyelia. Consequently, recent literature tends to unite the two terms syringohydromyelia or to use the terms "syringomyelia" or "syrinx," in a generic sense to refer to the spectrum of disease that is involved without implying endorsement of a specific pathogeneses hypothesis Syringohydromelia .caused [associated] with the Chiary malformations.traumaticsyringomyelia, idiopathic syringomyelia, and syringomyelia associated with tumors and associated with cervical spondilosis Objective To determine common site of spinal cord syrnix on clients who has syrinx on MRI To describe Causes of syringomelia and associated lesions on pediatric age To asses syringomeia and associated lesions on adult Method The design of the study will be prospectivecohort study The study will be conducted on patients 50 patients on selected hospital in Addis Ababa on patients who had spinal and if available brain MRI to study associated lesion compared with each and associated lesion The data collected through organized questionnaire The collected data analyzed using SPSS version 20 software and interpretation of the data will be done v Results CM-I wasthe most frequent associated condition (present in 14 patients [28%]), followed by spinal tumor (11[22%]) from which( 2[4%])had associated kyphoscolosis,post traumatic (4[8%]) from post traumatic (3[6%] had associated kypho-scoliosis ,chiary II (4[8%]),chiary III(3[6%]) and only kypho-scolosis (3[6%]) see table 1.No associated brain or spinal cordcondition was found in 3patients (6%), and syringesin these patients were considered idiopathic. The other diagnosis are (2 [4%])patients had diastomatomelia, two(2[4%]) tethered cord and one kyphosis (1[2%])and one infectious cause (1[2%]) There are also two patient had multiple diagnosis kyphoscolosis with diastomatomelia (1[2%]) and kyphoscolosis with tethered cord at L3 vertebra (1[2%]) Conclusion Syrinx location within the spinal canal also differed according to associated condition Syringes associated with CM-I, CM-II, or CM III had a more superior cranial extent, usually in the cervical spine. Syringes associated with tethered cord and spinal dysraphism were more likely to have their cranial and caudal extents located more caudally The incidence of kypho scoliosis did not differ significantly by associated condition, with the exception that patients with chiarymalformation were less likely to have scoliosis on our study