MRI Online
Library

View this list on the Library Page

ResidentsGroupsPricing
MRI Online
MRI Online
MRI Online
Library

View this list on the Library Page

9b - Answer: 46 year old female with a history of vascular myelopathy presenting with new right arm tingling, sensory changes/worsening myelopathy.

David Yousem MBA, MD
David M Yousem, MBA, MD
Professor of Radiology, Vice Chairman and Associate Dean
Includes DICOM files

Learn more about this case by reading the case report below. Additional instruction is provided in the Case Summary section of the course.

When you are ready to move on to your next Case Challenge, click the right arrow button at the top of the page.


Case Report

HISTORY: 46 year old female with a history of vascular myelopathy presenting with new right arm tingling, sensory changes/worsening myelopathy.

EXAM: MRA SPINE W/ AND WO CONTRAST, MRI COMPLETE SPINE W/WO CONTRAST, MRI BRAIN STROKE WO CONTRAST AND MRA

COMPARISON: Prior brain 6/27/2020

TECHNIQUE: Multiplanar multisequence MRI and MRA of the spine with contrast was performed. 8 cc of intravenous Gadavist was used.

FINDINGS:

MRI Spine:

Cord atrophy at C5-7 and the area of the previously seen myelopathy. 

Increased signal on diffusion weighted imaging within the the myelopathic segment in the right lateral aspect of the cord with associated heterogeneous enhancement extending from C5-C7 (series 15 image 11, series 32 image 12). 

Decreased patchy T2 hyperintensity in the dorsal columns the C2-3 level and in the left lateral spinal cord at C4.

T5 vertebral body hemangioma.

IMPRESSIONS:

MRI spine:

  1. Focal diffusion restriction and heterogeneous enhancement in the right lateral aspect of the spinal cord extending from C5-C7, within the segment of the previously seen myelopathy. Findings are suggestive of acute on chronic spinal cord infarction/vascular insult.
  2. Progressive atrophy of the myelopathic segment of spinal cord from C5 to C7 since 7/4/2020.
LESSON 3, TOPIC 12

Case Challenge: Spine MRI Cases

Case Challenge

Browse other topics in...

Content reviewed: May 12, 2022

View CME activity information