Date : 00.00.00
Name of the Patient : Abc Xyzv Chaudlmn / M / 47 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O neckpain with weakness and paresthesias in BLE.
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
There is an ill-defined, hyperintense signal on the Fast Scan (T2 *) images in the cervical spinal cord, posteriorly, extending from the cervico-medullary junction upto the C7 vertebral level. This lesion appears isointense to normal cord on the T1 Weighted images.
There is loss of water content of the cervical intervertebral discs.
Minimal posterior disc bulges are noted at the C4-C5, C5-C6 and C6-C7 levels. Small posterior peridiscal osteophytes are noted at the C3-C4, C4-C5, C5-C6 and C6-C7 levels.
The cervical vertebral bodies show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
There is no cord compression.
The atlanto-axial region is unremarkable.
Altered signal in the cervical spinal cord, posteriorly, extending from the cervico-medullary junction upto the C7 vertebral level as described is not specific for a single etiology. Demyelination is a likely possibility. Subacute combined degeneration of the cord should be ruled out, in view of location of the lesion in the posterior columns.