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Case 38 - Spinal Cord Astrocytoma

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In contrast to the abrupt onset of symptomatology in

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a patient who has a spinal cord infarct or

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acute flaccid myelitis after a viral illness,

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the course for demyelinating disorders usually

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runs in the terms of days to weeks.

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The course of a spinal cord neoplasm usually

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runs in the course of weeks to months.

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This is an example of a patient to an astrocytoma

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of the cervical spinal cord.

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And you see the dark signal intensity on T1-weighted scan.

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You see the bright signal intensity on the T2-weighted scan

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extending in a very long course here from the cervical medullary

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junction, all the way down into the thoracic spine.

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This would be a little bit too long for our longitudinally

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extensive transverse myelitis situation with neuromyelitis

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optica or anti-MOG disease. This is an expanded,

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extensive cord lesion with a clinical history

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that had gone on for months.

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You see the abnormal signal intensity in the center of

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the spinal cord. This is a patient with an astrocytoma.

Report

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Tags

Neuroradiology

Head and Neck

Emergency

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