Presentation
Weakness of the lower limbs in a patient with neglected thoracic kyphoscoliosis. MRI for evaluation.
Patient Data
The MRI sequences demonstrate:
upper thoracic kyphoscoliosis of left-sided convexity
block vertebrae at several levels
CSF-filled sac in continuity with the thecal sac extending to the posterior mediastinum through a vertebral defect. Thinning with tortuosity of the adjacent segment of the spinal cord bulging through the vertebral defect well-demonstrated on sagittal STIR sequence (zoomed sequence)
Case Discussion
MRI features of upper thoracic kyphoscoliosis with block vertebrae at several levels and anterior myelomeningocele.
Anterior myelomeningocele is rarely seen in the thoracic region and only few cases were reported in the literature 1,2.
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