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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Study of Neurological Recovery and Magnetic Resonance Imaging in Pott’s Paraplegia

Mata Prakash Aditya, Navin Singh and Atin Kumar Kundu
Page: 61-65 | Received 07 Mar 2023, Published online: 12 Apr 2023

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Abstract

Despite a large body of research on the use of MRI in spinal TB, investigations examining the connection between MRI results and clinically determined neurological deficits have been scarce. The purpose of this study was to identify potential links or correlations between neurological recovery and MRI results as well as risk factors for inadequate neurological recovery. Prior Consent from the patients was obtained for this cross‐sectional analytical investigation, which was determined to be ethically acceptable. 100 patients with spinal TB confirmed by MRI, cytology and histopathology were assessed, classified into the ASIA impairment scales A through E and then reclassified six months later to evaluate functional improvement. They also had MR imaging to evaluate the structural healing at the beginning and end of the six‐month treatment period. The real neurological recovery as determined by the ASIA and the recovery MRI characteristics were connected. The presence or absence of cerebrospinal fluid (CSF) prior to the cord, thecal sac compression, epidural abscess and cord compression and cord edoema (described as a strong all of these cord compressionrelated traits (such as a shift in signal on a T2‐weighted imaging) were present. Between people who can walk and those who can't, there was a statistically significant difference in the thickness of the epidural abscess (p = 0.02). About 69% of those with cord 86% with thecal compression and compression. between patients who are ambulatory and those who aren't, there was a statistically significant difference in thecal compression and cord compression correspondingly p = 0.003 and p = 0.000). The CSF loss before the cord was observed in 77% of patients, with ambulatory versus non‐ambulatory patients showing a significant difference (p = 0.001). According to the ASIA score, there are a number of MRI parameters that correspond with the degree of neurological impairment and the resolution of those features following treatment is also positively connected with neurological recovery.


How to cite this article:

Mata Prakash Aditya, Navin Singh and Atin Kumar Kundu. A Study of Neurological Recovery and Magnetic Resonance Imaging in Pott’s Paraplegia.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.61.65
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.61.65