Poster électronique

Apport de l´IRM dans les dysraphismes : à propos de 30 cas
H. Moumou, R. Dafiri, M. Chellaoui - Rabat - Maroc
Congrès 2010
Résumé
Objectifs
Montrer les différents aspects en IRM des dysraphismes chez l´enfant.
Matériels et méthodes
Étude rétrospective réalisée de 2006 à 2009, comprenant 30 enfants âgés de quelques jours à 15 ans. La symptomatologie clinique est variable, dominée par les manifestations cutanées, vient ensuite les signes neurologiques et orthopédiques. L’IRM a été réalisée chez tous les patients, permettant une exploration vertébro-médullaire dans tous les cas et cérébrale dans les ¾ des cas. Elle comprend des séquences sagittales en pondération T1, T2 et T2 Fat Sat, coronale et axiale T2.
Résultats
La plupart de nos patients avaient une myéloménigocèle lombosacrée, avec des malformations vertébrales dans 8 cas, une diastématomyélie dans 10 cas, une moelle bas attachée dans 7 cas, un lipome du filum terminal dans 3 cas, une cavité syringomyélique dans 3 cas.
Conclusion
Le dysraphisme spinal est un groupe hétérogène de malformations fréquemment observées en milieu pédiatrique. Leur diagnostic peut être fait en anténatal grâce a l´échographie et l´IRM ou cliniquement à la naissance. L'échographie médullaire peut montrer certaines anomalies mais l´IRM reste l'examen de choix qui permet un bilan lésionnel complet, précis et exhaustif des anomalies médullaires, vertébrales et cérébrales.
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2017-04-11 11.51 :
Scott Jones

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