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Case Challenge: Spine MRI Cases


Spine MRI Case Challenge Pre-Course Activities
2 topics

13b - Answer: 27 year old  female  with  myelopathy

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

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Case Report

HISTORY: 27 year old  female  with  myelopathy

TECHNIQUE: Multiplanar multisequence imaging of the cervical spine were obtained before and after contrast administration.

COMPARISON:  None

FINDINGS:

A 4 x 3 x 9 mm (TR by AP by CC) lesion in the right dorsolateral cord extending from C5-6 disc level to mid C6 vertebral body level. The lesion is mostly T1 isointense and T2 hypointense, with minimal nodular T2 hyperintensity in the superior aspect of the lesion. There is no significant contrast enhancement of this lesion. Findings most likely representing spinal cord cavernoma. This lesion involves the posterior horn of the gray matter as well as posterolateral
white matter tracts.

The lordotic curvature of the cervical spine is maintained. There is no significant listhesis. The vertebral bone marrow and disc signal is preserved. There is no significant loss of intervertebral disc or vertebral body height. No acute compression fracture. There is a minimal degenerative change with tiny central protrusion at C4-C5 but no spinal canal or neuroforaminal narrowing at any cervical level.

The visualized posterior fossa structures are unremarkable.

IMPRESSION:

A 4 x 3 x 9 mm lesion in the right dorsolateral cord extending from the C5-6 disc level to the mid C6 vertebral body level with signal characteristics most compatible with a spinal cavernoma. This lesion involves the posterior horn of the gray matter and  also the expected location of the right lateral corticospinal tract.

LESSON 4, TOPIC 9

Case Challenge: Spine MRI Cases

Case Challenge

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