TY  - BOOK
AU  - Mohammed Saleh Ali Mohieddin
AU  - Manar Hussein Abdelsattar , 
AU  - Rania Aly Zeitoun , 
TI  - Value of adding a coronal STIR sequence in MRI evaluation of sciatica-like symptoms / 
PY  - 2017///
CY  - Cairo : 
PB  - Mohammed Saleh Ali Mohieddin , 
KW  - Coronal STIR sequence
KW  - Extraspinal sciatica
KW  - Lumbosacral plexus
N1  - Thesis (M.Sc.) - Cairo University - Faculty of Medicine  - Department of Radio-diagnosis; Issued also as CD
N2  - Aim of work: To determine the value of adding coronal STIR sequence to routine MRI protocol of lumbosacral spine, in patients referred to investigate sciatica or sciatica-like symptoms, aiming at detection of extraspinal causes of sciatica.  patients and methods: The study included 217 patients, referred for MRI to investigate sciatica and sciatica-like symptoms. For all patients we added a coronal STIR sequence. We compared the results of analyzing routine MRI protocol vs. combined routine protocol and coronal STIR images. We applied chi-square statistical test to study the prevalence of extra spinal causes of sciatica in patients according to the following features: age, sex, history of trauma, history of neoplasia and presence of any spinal abnormality or nerve root impingement on the routine lumbar MRI.  Results: Coronal STIR images revealed additional extraspinal abnormalities in 44 patients (20%). Fifteen (6.9%) of these extraspinal abnormalities were considered to be a definite cause of patients{u2019} symptoms and 24 (11%) were considered equivocal causes of patients{u2019} symptoms. The prevalence of definite extraspinal causes of sciatica was significantly correlated with: age group 20-29 years old (P = 0.002), history of trauma (P = 0.040) or neoplasia (P = 0.013) and absence of any spinal abnormality (P = 0.004) or nerve root impingement on the routine lumbar MRI (P = 0.002).  Conclusion: Adding a coronal STIR sequence to the routine MRI protocol is valuable to identify extraspinal causes of sciatica and sciatica- like symptoms especially in young age group, positive history of trauma or neoplasia and absence of spinal abnormalities and neural compromise on routine images
UR  - http://172.23.153.220/th.pdf
ER  -