Compressive myelopathy: magnetic resonance imaging findings simulating idiopathic acute transverse myelopathy
- Authors
- Bae, Yun Jung; Lee, Joon Woo; Park, Kyung Seok; Yeom, Jin S.; Kim, Ki-Jeong; Lee, Guen Young; Kang, Heung Sik
- Issue Date
- Jun-2013
- Publisher
- SPRINGER
- Keywords
- Spinal cord; Spinal cord compression; Myelopathy, compressive; Myelitis, acute transverse; Myelopathy
- Citation
- SKELETAL RADIOLOGY, v.42, no.6, pp 793 - 802
- Pages
- 10
- Journal Title
- SKELETAL RADIOLOGY
- Volume
- 42
- Number
- 6
- Start Page
- 793
- End Page
- 802
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/73639
- DOI
- 10.1007/s00256-012-1556-5
- ISSN
- 0364-2348
1432-2161
- Abstract
- To provide magnetic resonance imaging (MRI) findings of compressive myelopathy simulating idiopathic acute transverse myelopathy (ATM). From 19,416 patients who had spinal MRI from 1 September 2004 to 10 July 2011, the patients who met inclusion criteria were enrolled as follows: (1) definable cord compression, (2) long-segmental intramedullary T2-high signal intensity (HSI) extending more than 2 vertebral segments, and (3) no history of trauma, malignancy, or demyelinating disease. The characteristics of T2-HSI and contrast enhancement pattern were analyzed. The patients' clinical information was collected in the process. Thirteen patients (10 men, 3 women; mean age, 52.8 years; age range, 43-77 years) were included in this study. Twelve patients had cervical cord compression and one had thoracic compression. Common findings of T2-HSI included fusiform shape (100 %) with cord swelling (92.3 %), cord compression in midline location (76.9 %), diffuse distribution occupying more than two-thirds of the cross-sectional dimension of the cord in axial image (84.6 %), and focal and peripheral enhancement (63.6 %). Intravenous corticosteroid was administered to four patients, including two patients following decompressive surgery, and interval decrease in T2-HSI was seen in three patients, but with residual lesions at cord compression level. Spinal cord compression can induce long-segmental cord signal change, such as idiopathic ATM.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - ETC > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/73639)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.