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Year : 2016  |  Volume : 19  |  Issue : 2  |  Page : 106-109

Nontraumatic myelopathy at the University of Port Harcourt Teaching Hospital: Magnetic resonance imaging evaluation

1 Department of Radiology, University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Nigeria
2 Department of Internal Medicine, University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Nigeria

Correspondence Address:
Regina Chinwe Onwuchekwa
Department of Radiology, University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt
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DOI: 10.4103/1119-0388.185428

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Objective: The aim of the study is to evaluate the etiology of nontraumatic myelopathy on magnetic resonance imaging (MRI) with a view to highlight the most common causes. Materials and Methods: We retrospectively examined the images and reports of patients with nontraumatic spinal cord lesion who presented to the Radiology Department of University of Port Harcourt Teaching Hospital for MRI scan between 2007 and 2012. The following data were collected: age, gender, types of lesions, and location of lesions. Cases with incomplete information were eliminated and cases with conflicting image findings and reports were reviewed. Institutional ethics approval was not necessary for this retrospective study. The data were analyzed statistically using Statistical Package for the Social Sciences (SPSS) 14.0 window evaluation version. Results: Seventy-three patients satisfied the criteria for inclusion in the study. Of these patients, there were 21 females and 52 males giving a female-to-male ratio of 1:2.5. The mean age was 37 years (age range of 15-78 years). The age range of 51-60 years had the highest frequency of lesions, accounting for 29. 17%. Disc degenerative disease was found to rank the highest among the lesions seen on MRI, accounting for 46. 6%. Conclusion: MRI is useful in detecting and localizing the spinal cord lesion responsible for myelopathy. The finding in this study that the commonest cause of myelopathy is spondylosis has contributed to bringing into limelight the burden of degenerative spinal lesion in the environment and the need to provide adequate facilities for management of the condition.

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