open access

Vol 51, No 1 (2017)
Original research articles
Submitted: 2016-09-27
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Spinal cord lesions in children and adolescents with multiple sclerosis – Magnetic resonance imaging

Joanna Dębska, Katarzyna Kotulska-Józwiak, Piotr Pawliszak, Małgorzata Bilska, Dariusz Chmielewski, Iwona Puzio, Elżbieta Jurkiewicz
DOI: 10.1016/j.pjnns.2016.11.008
·
Neurol Neurochir Pol 2017;51(1):77-81.

open access

Vol 51, No 1 (2017)
Original research articles
Submitted: 2016-09-27

Abstract

Purpose

The purpose of our study was to determine the prevalence of spinal cord lesions revealed by magnetic resonance (MR) imaging in children and adolescents with clinically definite multiple sclerosis (MS).

Material and methods

We retrospectively evaluated the spinal cord magnetic resonance examinations in a group of MS patients consisting of 58 children (37 girls and 21 boys) aged from 7 to 17.8 years (mean 13.7 years). All children met the criteria of clinically definite MS and had typical MS lesions revealed in the brain imaging.

Results

Spinal cord lesions, regardless of localization, were identified in 36 (62%) patients. In 22 of 58 patients (38%) no lesions were observed. The plaques were found in the cervical spinal cord and the thoracic spinal cord in 30 out of 36 (86.1%) and in 31 out of 36 (88.6%) patients, respectively. Contrast enhancement was noticed in 10 out of 36 patients (27.7%) and was not correlated with the number of lesions present.

We noticed a tendency to higher EDSS score in patients with lesions in more than 1 spinal cord region.

Our study showed that spinal cord lesions are more frequently present in patients with complex neurological disability.

Conclusion

The prevalence of spinal cord lesions in children and adolescents with MS is high. Therefore, spinal cord MRI should be included in diagnostic program of MS.

Abstract

Purpose

The purpose of our study was to determine the prevalence of spinal cord lesions revealed by magnetic resonance (MR) imaging in children and adolescents with clinically definite multiple sclerosis (MS).

Material and methods

We retrospectively evaluated the spinal cord magnetic resonance examinations in a group of MS patients consisting of 58 children (37 girls and 21 boys) aged from 7 to 17.8 years (mean 13.7 years). All children met the criteria of clinically definite MS and had typical MS lesions revealed in the brain imaging.

Results

Spinal cord lesions, regardless of localization, were identified in 36 (62%) patients. In 22 of 58 patients (38%) no lesions were observed. The plaques were found in the cervical spinal cord and the thoracic spinal cord in 30 out of 36 (86.1%) and in 31 out of 36 (88.6%) patients, respectively. Contrast enhancement was noticed in 10 out of 36 patients (27.7%) and was not correlated with the number of lesions present.

We noticed a tendency to higher EDSS score in patients with lesions in more than 1 spinal cord region.

Our study showed that spinal cord lesions are more frequently present in patients with complex neurological disability.

Conclusion

The prevalence of spinal cord lesions in children and adolescents with MS is high. Therefore, spinal cord MRI should be included in diagnostic program of MS.

Get Citation

Keywords

Multiple sclerosis, Children, Adolescents, Spinal cord, Magnetic resonance imaging

About this article
Title

Spinal cord lesions in children and adolescents with multiple sclerosis – Magnetic resonance imaging

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 51, No 1 (2017)

Pages

77-81

DOI

10.1016/j.pjnns.2016.11.008

Bibliographic record

Neurol Neurochir Pol 2017;51(1):77-81.

Keywords

Multiple sclerosis
Children
Adolescents
Spinal cord
Magnetic resonance imaging

Authors

Joanna Dębska
Katarzyna Kotulska-Józwiak
Piotr Pawliszak
Małgorzata Bilska
Dariusz Chmielewski
Iwona Puzio
Elżbieta Jurkiewicz

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