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Surg Neurol. 2000 Jan;53(1):8-13.

Increased MRI signal intensity in association with myelopathy and cervical instability: case report and review of the literature.

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1
Department of Neurosurgery, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, Louisiana, USA.

Abstract

BACKGROUND:

Increased T2-weighted signal intensity in patients with cervical myelopathy has been extensively reviewed in the literature. A variety of etiologies with similar MRI appearances have been described; attempt at correlation of MRI findings with clinical presentation and outcomes after treatment has led to a limited consensus.

METHODS:

We present a case of cervical myelopathy with associated hyperintense T2-weighted signal characteristics, secondary to cervical spondylosis and instability.

RESULTS:

Rapid resolution of radiographic abnormalities after surgical decompression and fusion was noted. Clinical improvement did not parallel radiographic resolution.

CONCLUSION:

These findings are important in considering the pathophysiology of MRI changes in cervical myelopathy.

PMID:
10697228
[Indexed for MEDLINE]
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