الفهرس | Only 14 pages are availabe for public view |
Abstract Cervical spondylotic myelopathy represents a clinico-radiological challenge due to the mismatch between the clinical presentation of the patient and the findings of the conventional MR due to its lack ofdetection of early microstructural changes of the cervical cord. DTI parameters offer a promising imaging technique in the detection of early cord changes before its establishment in conventional T2 weighted images of MRI. In our study we correlated the DTI derived parametersof the cervical cord in controls and cases at different levels; pre stenotic, stenotic and post stenotic levelsand correlate them to severity of neurological symptoms. The mean normal FA in our study was 0.6157. We found that when we go down the cervical cord levels the more reduction will be in FA values which may be contributed to the increased grey/white matter ratio inferiorly. To conclude FA and ADC values were shown to be more accurate in detection of cord affection in compressive myelopathy at early stages. These results can be useful in early detection of cervical cord compressive myelopathy prior to appearance of changes in conventional MRI which can improve the clinical outcome and help in treatment plans. |