The use of flexion-extension magnetic resonance imaging for evaluating signal intensity changes of the cervical spinal cord Report of 2 cases

被引:18
作者
Guppy, Kern H. [1 ]
Hawk, Mark
Chakrabarti, Indro
Banerjee, Amit
机构
[1] Kaiser Permanente Med Grp, Dept Neurosurg, Sacramento, CA 95825 USA
关键词
cervical spine; flexion-extension; high signal intensity; magnetic resonance imaging; spinal cord; MULTIPLE-SCLEROSIS; COMPRESSION MYELOPATHY; DEGENERATIVE DISEASE; LESIONS; CLASSIFICATION; SPONDYLOSIS; MRI;
D O I
10.3171/2009.1.SPINE08567
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors present 2 cases involving patients who presented with myelopathy. Magnetic resonance imaging of the cervical spine showed spinal cord signal changes on T2-weighted images without any spinal cord compression. Flex ion-extension plain radiographs of the spine showed no instability. Dynamic MR imaging of the cervical spine, however, showed spinal cord compression on extension. Compression of the spinal cord was caused by dynamic anulus bulging and ligamentum flavum buckling. This report emphasizes the need for dynamic MR imaging of the cervical spine for evaluating spinal cord changes on neutral position MR imaging before further workup for other causes such as demyelinating disease. (DOI: 10.3171/2009.1.SPINE08567)
引用
收藏
页码:366 / 373
页数:8
相关论文
共 20 条
[1]   MYELOPATHIC CERVICAL SPONDYLOTIC LESIONS DEMONSTRATED BY MAGNETIC-RESONANCE IMAGING [J].
ALMEFTY, O ;
HARKEY, LH ;
MIDDLETON, TH ;
SMITH, RR ;
FOX, JL .
JOURNAL OF NEUROSURGERY, 1988, 68 (02) :217-222
[2]   EFFECTS OF MECHANICAL STRESSES ON SPINAL CORD IN CERVICAL SPONDYLOSIS - A STUDY OF FRESH CADAVER MATERIAL [J].
BREIG, A ;
TURNBULL, I ;
HASSLER, O .
JOURNAL OF NEUROSURGERY, 1966, 25 (01) :45-+
[3]   Cervical degenerative disease at flexion-extension MR imaging: Prediction criteria [J].
Chen, CJ ;
Hsu, HL ;
Niu, CC ;
Chen, TY ;
Chen, MC ;
Tseng, YC ;
Wong, YC ;
Wang, LJ .
RADIOLOGY, 2003, 227 (01) :136-142
[4]   Cervical spondylotic myelopathy due to chronic compression: the role of signal intensity changes in magnetic resonance images [J].
de Rota, Juan Jose Fernandez ;
Meschian, Stephan ;
de Rota, Antonio Fernandez ;
Urbano, Victor ;
Baron, Manuel .
JOURNAL OF NEUROSURGERY-SPINE, 2007, 6 (01) :17-22
[5]   A conventional and magnetization transfer MRI study of the cervical cord in patients with MS [J].
Filippi, M ;
Bozzali, M ;
Horsfield, MA ;
Rocca, MA ;
Sormani, MP ;
Iannucci, G ;
Colombo, B ;
Comi, G .
NEUROLOGY, 2000, 54 (01) :207-213
[6]  
Hittmair K, 1996, AM J NEURORADIOL, V17, P1555
[7]   SPINAL-CORD MRI USING MULTIARRAY COILS AND FAST SPIN-ECHO .2. FINDINGS IN MULTIPLE-SCLEROSIS [J].
KIDD, D ;
THORPE, JW ;
THOMPSON, AJ ;
KENDALL, BE ;
MOSELEY, IF ;
MACMANUS, DG ;
MCDONALD, WI ;
MILLER, DH .
NEUROLOGY, 1993, 43 (12) :2632-2637
[8]   Prognostic relevance of the postoperative evolution of intramedullary spinal cord changes in signal intensity on magnetic resonance imaging after anterior decompression for cervical spondylotic myelopathy [J].
Mastronardi, Luciano ;
Elsawaf, Ahmed ;
Roperto, Raffaelino ;
Bozzao, Alessandro ;
Caroli, Manuela ;
Ferrante, Michele ;
Ferrante, Luigi .
JOURNAL OF NEUROSURGERY-SPINE, 2007, 7 (06) :615-622
[9]   MAGNETIC-RESONANCE-IMAGING AND CERVICAL SPONDYLOTIC MYELOPATHY [J].
MEHALIC, TF ;
PEZZUTI, RT ;
APPLEBAUM, BI .
NEUROSURGERY, 1990, 26 (02) :217-227
[10]   The effects of the degenerative changes in the functional spinal unit on the kinematics of the cervical spine [J].
Morishita, Yuichiro ;
Hida, Shinichi ;
Miyazaki, Masashi ;
Hong, Soon-Woo ;
Zou, Jun ;
Wei, Feng ;
Naito, Masatoshi ;
Wang, Jeffrey C. .
SPINE, 2008, 33 (06) :E178-E182