PMC3622373_01
Magnetic resonance images of cervical spine, (a) T2 weighted sagittal image showing enlargement of cord from C4 to D2, The abscess is hyperintense in T2 weighted images, (b) Postgadolinium T1 weighted image. The abscess is non-enhancing
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F1
T2W images, with no enhancement after gadolinium injection [Figure 1a and b]. This radiological picture of central T2 hyperintensity of spinal cord spanning greater than three segments along with the clinical presentation of sudden onset paraplegia with a sensory level and early bladder involvement simulated acute transverse myelitis.
Magnetic resonance images of lumbar spine, (a) T1 weighted sagittal image showing a mass attached to conus medullaris and filum terminale. The mass is isointense to spinal cord in T1 weighed images, (b) T2 weighted sagittal image showing the mass, which is isointense to the cord, (c) Post gadolinium T1 weighted sagittal image. The mass is non-enhancing
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F2
Plain and contrast enhanced MRI scans of lumbar spine were performed showing the lesion surrounded by cord matter [Figure 2].
Intraoperative picture. After D12 to L3 laminectomy was done and dura was opened. The arachnoid was thin and transparent. Through the arachnoid yellowish, thick pus attached to conus and filum terminale is seen
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F3
Yellowish, purulent material was seen loosely attached to conus medullaris and filum terminale through the intact arachnoid [Figure 3].
Magnetic resonance images of dorsal spine after first surgery, (a) T2 weighted sagittal image of dorsal spine showing hyperintensity of cord extending from cervical cord down up to D12 level, (b) Post gadolinium T1 weighted sagittal image of cervico-dorsal spine showing enhancement of meninges at D2, D3, and D4 levels along with patchy enhancement of adjacent cord
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F4
Patchy enhancement of meninges of dorsal spine (D2-D4) was seen [Figure 4a and b].