PMC7608839_01
MR image showing multilevel degeneration involving L2-S1. a) Sagittal cut image, b) Axial cut at L2-L3 level, c) Axial cut at L3-L4 level, d) Axial cut at L4-L5 level.
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However, MR imaging revealed only mild spinal canal stenosis from L2-L5 and C3-C6 levels without any cord signal changes, unlikely to cause the debilitating effects (Figs. 1 and 2).
MR image showing mild spinal canal stenosis at C3-C6 levels. a) Sagittal cut image, b) Axial cut at C3-C4 level, c) Axial cut at C4-C5 level, d) Axial cut at C5-C6 level.
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However, MR imaging revealed only mild spinal canal stenosis from L2-L5 and C3-C6 levels without any cord signal changes, unlikely to cause the debilitating effects (Figs. 1 and 2).
Second MR image showing mild cord signal changes on top of the C3-C6 canal stenosis seen earlier, suggestive of early myelomalacia. a) Sagittal cut image, b) Axial cut at C3-C4 level, c) Axial cut at C4-C5 level, d) Axial cut at C5-C6 level.
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MR imaging of the whole spine was repeated which showed mild cord signal changes on top of the C3-C6 canal stenosis seen earlier, suggestive of early myelomalacia (Fig. 3).
Third MR image demonstrating significant cord signal changes (T2 hyperintensities) from C2 to C7 levels. a) Sagittal cut image, b) Axial cut at C3-C4 level, c) Axial cut at C4-C5 level, d) Axial cut at C5-C6 level.
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MR imaging was once again repeated which demonstrated significant cord signal changes (T2 hyperintensities) from C2 to C7 levels, without expansion or enhancement (Fig. 4).