Ultrasound of congenital spine anomalies

Rees, Mitchell A.; Squires, Judy; Coley, Brian D.; Hoehne, Brad; Ho, Mai‐Lan

doi:10.1007/s00247-021-05178-6

Cited by 8 publications

(5 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In pediatric populations, the posterior elements of the spine do not fuse until approximately six months of age, allowing ultrasound to be a useful first exam [ 13 ]. Sonographic evidence of a tethered cord includes caudal positioning of the conus medullaris below the L2/L3 vertebral level as well as reduced motion of the conus or cauda equina [ 14 , 15 ]. MRI can confirm the positioning of the conus [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Tethered Cord Syndrome: Role of Imaging Findings in Surgical Decision-Making

Otto,

Kucera,

Hayes

et al. 2023

Cureus

View full text Add to dashboard Cite

For infants presenting with urinary problems or lower extremity weakness, imaging is ordered to investigate spinal pathology. Tethered cord syndrome (TCS) often manifests without conclusive anatomic evidence. In our case, a premature infant presented with urosepsis and was found to have an asymmetric gluteal crease and a sacral dimple. Renal ultrasound showed mild hydronephrosis, and a cystourethrogram revealed bilateral high-grade vesicoureteral reflux. Ultrasound and magnetic resonance imaging demonstrated a borderline low-lying spinal cord at the mid-L3 vertebral level. Urodynamic testing to confirm neurogenic bladder could not be completed on the first attempt due to urinary tract infection and on the second attempt due to instrument intolerance. Despite the lack of conclusive imaging evidence of a tethered cord, enough supportive clinical data was present to proceed with surgical intervention with the goal of preventing the progression of neurological dysfunction. Because TCS is ultimately a clinical diagnosis, appropriate management should not be discouraged by inconclusive or borderline imaging findings.

show abstract

Section: Discussionmentioning

confidence: 99%

Tethered Cord Syndrome: Role of Imaging Findings in Surgical Decision-Making

Otto,

Kucera,

Hayes

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…Occasionally, ultrasound use leads to the incidental discovery of abnormalities in cranial structure, such as craniosynostosis and plagiocephaly [75][76][77] . Ultrasound technology is often used to characterize soft-tissue defects, lesions, and malformation pathologies of the spine, such as incomplete ossification seen in spina bifida [78][79][80] . To a lesser degree, ultrasound can be used in adults to visualize blood vessels of the neck and monitor blood flow in the brain and help identify potential stroke, brain tumors, hydrocephalus, and vascular issues.…”

Section: Ultrasoundmentioning

confidence: 99%

The Role of Advanced Imaging in Neurosurgical Diagnosis

et al. 2023

View full text Add to dashboard Cite

Neurosurgery as a specialty has developed at a rapid pace as a result of the continual advancements in neuroimaging modalities. With more sophisticated imaging options available to the modern neurosurgeon, diagnoses become more accurate and at a faster rate, allowing for greater surgical planning and precision. Herein, the authors review the current heavily used imaging modalities within neurosurgery, weighing their strengths and weaknesses, and provide a look into new advances and imaging options within the field. Of the many imaging modalities currently available to the practicing neurosurgeon, magnetic resonance imaging (MRI), computed tomography, positron emission tomography, and ultrasonography are used most heavily within the field for appropriate diagnosis of neuropathologies in question. For each, their strengths are weighed regarding appropriate capabilities in accurate diagnosis of cranial or spinal lesions. Reasoning for choosing one over the other for various pathologies is also reviewed. Current limitations of each is also assessed, providing insight for possible improvement for each. New advancements in imaging options are subsequently reviewed for best uses within neurosurgery, including the new utilization of FIESTA sequencing, glymphatic mapping, black-blood MRI, and functional MRI. The specialty of neurosurgery will continue to heavily rely on improvements within imaging options available for improved diagnosis and greater surgical outcomes for the patients treated. The synthesis of techniques provided herein may provide meaningful guidance for neurosurgeons in effectively diagnosing neurological pathologies while also helping guide future efforts in neuroimaging developments.

show abstract

“…Because ultrasound is contraindicated for direct investigation of the open spinal defect, MRI is necessary to characterize the dysraphism as well as associated cerebral and cerebellar malformations. T2-weighted sequences are especially useful for demonstrating the expansion of the meningeal spaces [ 30 ].…”

Section: Reviewmentioning

confidence: 99%

Developmental Abnormalities of the Pediatric Spine: A Review of the Correlation Between Ultrasound and MRI Findings

Hunsaker,

Gupta,

Otto

et al. 2023

Cureus

View full text Add to dashboard Cite

A broad spectrum of spinal pathologies can affect the pediatric population. Ultrasound (US) is the primary modality for pediatric spine assessment due to its widespread availability, non-requirement of sedation, and absence of ionizing radiation. Supplementing this, MRI offers an in-depth exploration of these conditions, aiding in preoperative strategizing. In this review, we examine the clinical indications, methodologies, and protocols for US and MRI scans of the pediatric spine. Additionally, we illustrate normal pediatric spinal anatomy, highlighting several examples of normal variants that are often misinterpreted. Through a series of case-based illustrations, we offer a comprehensive overview of various pathological conditions such as tethered cord, spinal dysraphism, spinal lipoma, diastematomyelia, and dermal sinus tract, among others. Furthermore, we explore the correlation between US and MRI findings for these lesions, employing real-world cases to enhance our understanding of this topic.

show abstract

Ultrasound of congenital spine anomalies

Cited by 8 publications

References 53 publications

Tethered Cord Syndrome: Role of Imaging Findings in Surgical Decision-Making

Tethered Cord Syndrome: Role of Imaging Findings in Surgical Decision-Making

The Role of Advanced Imaging in Neurosurgical Diagnosis

Developmental Abnormalities of the Pediatric Spine: A Review of the Correlation Between Ultrasound and MRI Findings

Contact Info

Product

Resources

About