Details of children with spinal cord abnormality detected on MRI spine
| Patient no. | 1 | 2 | 3 | 4 | 5 |
|---|---|---|---|---|---|
| *Normal variant. | |||||
| UTI, urinary tract infection; DSD, detrusor sphincter dyssynergia. | |||||
| Age at MRI (y) | 12.2 | 11.5 | 4..9 | 12.9 | 0.5 |
| History | Imperforate anus, difficulty voiding, UTI | Recurrent UTI, daytime wetting, constipation, incomplete bladder emptying | Fallot’s tetralogy, anal atresia, impaired bladder sensation, UTI | Daytime wetting, impaired sensation | Urinary retention, UTI |
| Physical examination | Brisk lower limb reflexes | Normal | Normal neuro-orthopaedic and cutaneous examination | Capillary haemangioma lumbosacral region, absent left ankle reflex | Deep sacral pit and hairy tuft lower lumbar spine |
| Spine x ray | Short sacrum, lumbar vertebral abnormalities | Failure of fusion S1 vertebral arches* | Not done | Not done | Not done |
| VUD | Open bladder neck, reduced capacity with low grade contractions. emptying by straining | Detrusor hyperreflexia, incomplete emptying | Hyperreflexia, poorly compliant bladder, incomplete emptying | Refused | Not emptying despite high pressure contractions, DSD |
| MRI spine | Caudal regression | Intraspinal lipoma, tethered cord | Hydromyelia thoracic and lower cervical cord, caudal regression | Low terminating cord | Caudal regression |