Case presentation A 14-year-old boy presented to a hospital with a referral for evaluation of adolescent idiopathic scoliosis. He did not experience any pain or neurologic deficits. History Upon an examination conducted three years ago, the patient was observed to have a dextrothoracic curvature of 20°. Also, a severe advancement of the deformity was observed around a year before the presentation. Investigations A physical examination revealed – Substantial spinal deformity Right thoracic paraspinal prominence Low left thoracic prominence Low thoracic gibbus deformity An MRI revealed – Multiple areas of syrinx from C6 to T12.
Hyperintense signals in the vertebral bodies on T1 and T2-weighted images. These signals were contrast-enhancing and fat-suppressible. Also, they were consistent with vertebral involvement by the lytic process. A 3D CT reconstruction demonstrated a loss of the…
