Cervical spondylotic myelopathy (CSM) is a clinical syndrome secondary to a spinal cord compression due to cervical spondylosis. In some cases, conventional MRI typically shows an intramedullary hyperintense signal on T2W imaging and contrast enhancement on post-gadolinium T1W imaging. We report a series of seven patients with CSM who had typical clinical presentation and imaging findings on T2W and contrast-enhanced T1W sequences. The imaging findings included degenerative changes of the cervical spine, intramedullary T2-signal hyperintensity, and an intramedullary enhancement on post-gadolinium T1W images. Our results support the statement that the presence of an intramedullary gadolinium-enhancement with a flat transverse pancake-like pattern (on sagittal images) and a circumferential pattern (on axial images), located within a T2-signal abnormality, in patients with cervical spondylosis and clinical myelopathy is indicative of spondylosis as the cause of the myelopathy.
Magnetic resonance; Cervical spondylotic myelopathy
Pessini Ferreira LM, Auger C, Kortazar Zubizarreta I, Gonzalez Chinchon G, Herrera I, Pla A, et al. MRI findings in cervical spondylotic myelopathy with gadolinium enhancement: Review of seven cases. BJR Case Reports. 2021 Jan 5;7:20200133.
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