Myelopathie durch spinale Enge

Location,

length, and enhancement: systematic approach to differentiating intramedullary spinal cord lesions. Compressive myelopathy. A 50-year-old patient with bilateral hand tingling. a Sagittal T2 image shows severe spinal canal narrowing at C3–C4 due to degenerative changes, with focal faint signal hyperintensity (arrow). b Post-contrast image shows focal enhancement (arrow)

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Compressive

myelopathy • Compressive myelopathy - Ganzer Fall bei Radiopaedia

Di Muzio B, Compressive myelopathy. Case study, Radiopaedia.org (Accessed on 30 Dec 2022) https://doi.org/10.53347/rID-48373 • CC by-nc-sa 3.0 (modified)

Compressive

myelopathy • Compressive myelopathy - Ganzer Fall bei Radiopaedia

Di Muzio B, Compressive myelopathy. Case study, Radiopaedia.org (Accessed on 30 Dec 2022) https://doi.org/10.53347/rID-42952 • CC by-nc-sa 3.0 (modified)

Compressive

myelopathy • Compressive myelopathy - Ganzer Fall bei Radiopaedia

Di Muzio B, Compressive myelopathy. Case study, Radiopaedia.org (Accessed on 30 Dec 2022) https://doi.org/10.53347/rID-38421 • CC by-nc-sa 3.0 (modified)

Aggressive

vertebral hemangioma • Aggressive vertebral hemangioma with compressive myelopathy - Ganzer Fall bei Radiopaedia

Haouimi, A. Aggressive vertebral hemangioma with compressive myelopathy. Case study, Radiopaedia.org. (accessed on 21 Oct 2022) https://doi.org/10.53347/rID-64617 • CC by-nc-sa 3.0 (modified)

Compressive

myelopathy • Ossified ligamentum flavum causing compressive myelopathy - Ganzer Fall bei Radiopaedia

Abdelmonem H, Ossified ligamentum flavum causing compressive myelopathy. Case study, Radiopaedia.org (Accessed on 30 Dec 2022) https://doi.org/10.53347/rID-61355 • CC by-nc-sa 3.0 (modified)

Compressive

myelopathy • Cervical compressive myelopathy - Ganzer Fall bei Radiopaedia

Haouimi A, Cervical compressive myelopathy. Case study, Radiopaedia.org (Accessed on 30 Dec 2022) https://doi.org/10.53347/rID-71956 • CC by-nc-sa 3.0 (modified)

Compressive

myelopathy • Adenoid basal cell carcinoma of the skin invading the superior sagittal sinus with metastases - Ganzer Fall bei Radiopaedia

Haouimi A, Adenoid basal cell carcinoma of the skin invading the superior sagittal sinus with metastases. Case study, Radiopaedia.org (Accessed on 30 Dec 2022) https://doi.org/10.53347/rID-79181 • CC by-nc-sa 3.0 (modified)

Compressive

myelopathy • Ossification of the posterior longitudinal ligament (OPLL) with compressive myelopathy - Ganzer Fall bei Radiopaedia

Haouimi A, Ossification of the posterior longitudinal ligament (OPLL) with compressive myelopathy. Case study, Radiopaedia.org (Accessed on 30 Dec 2022) https://doi.org/10.53347/rID-88995 • CC by-nc-sa 3.0 (modified)

Os

odontoideum • Os odontoideum - Ganzer Fall bei Radiopaedia

Abdallah, Y. Os odontoideum. Case study, Radiopaedia.org. (accessed on 24 Oct 2022) https://doi.org/10.53347/rID-153331 • CC by-nc-sa 3.0 (modified)

Radiopaedia • CC-by-nc-sa 3.0 • de

Compressive myelopathy refers to neurological deficits that result from abnormal compression of the spinal cord. It most commonly occurs in the cervical spinal cord.

Pathology

Any cause of spinal canal stenosis including disc herniation, osteophytes, extradural mass, and/or paravertebral ligamentous ossification .

Radiographic features

MRI

Intramedullary T2 hyperintense signal in the setting of symptoms of acute cord compression is an urgent finding and probably indicates acute cord edema and ischemia .

These have been associated with worse outcomes:

high T2 signal intensity in a compressed segment relative to a noncompressed segment
low T1 signal intensity change with high T2 signal intensity at the compressed segment