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Magnetic resonance imaging findings of patients with suspected tuberculosis from a tertiary care centre in Sri Lanka

Authors:

A S Pallewatte ,

Magnetic Resonance Imaging, Neurosurgical Unit, National Hospital of Sri Lanka, LK
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N A Wickramasinghe

Magnetic Resonance Imaging, Neurosurgical Unit, National Hospital of Sri Lanka, LK
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Abstract

Introduction Spinal tuberculosis (TB) is a relatively common cause for spinal pathology in Sri Lanka and a common indication for magnetic resonance imaging (MRI).

Objectives The objective of the study was to describe the MRI imaging pattern of spinal TB in a series of patients.

Methods One hundred and nine patients with clinically confirmed spinal tuberculosis who had undergone MRI scans at the National Hospital of Sri Lanka from 2012-2016 were included in the study.

Results The commonest vertebral level of spinal TB involvement was at L4/5 level, followed by L5/S1 level. L5 vertebral body involvement was the commonest and L4 was second commonest. Single level involvement (68.8%) was commoner than multiple (31.2%) involvement or contiguous involvement. Wedging (24.8%), erosions (89%), end plate changes (96.3%), canal stenosis (77.1%), paravertebral collection (65.1%), prevertebral collection (39.4%), psoas abscess (23.9%) and epidural collection (45.9%) were noted. No significant difference was seen between females and males.

Conclusions Spinal tuberculosis commonly involves L4/5 level.

DOI: http://doi.org/10.4038/cmj.v61i4.8387
How to Cite: Pallewatte, A.S. & Wickramasinghe, N.A., (2016). Magnetic resonance imaging findings of patients with suspected tuberculosis from a tertiary care centre in Sri Lanka. Ceylon Medical Journal. 61(4), pp.185–188. DOI: http://doi.org/10.4038/cmj.v61i4.8387
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Published on 30 Dec 2016.
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