PMC6057171_01
(Pre-operative T2 weighted sagittal MRI image showing the hyper intensity within the cord and canal narrowing at C3 and C4 levels)
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F1
(Pre-operative T2 weighted axial MRI image showing the hyper intensity and canal narrowing at C3 and C4 levels)
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F2
(Post-operative sagittal CT image showing laminectomy and good placement of screws and rods)
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F3
An urgent postoperative computed tomography showed good placement of the screws and rods with preserved alignment [Figure 3].
(Post-operative T2 weighted MRI image showing resolved canal stenosis and high intensity patchy signal changes within the cord with cord swelling extending into the medulla oblongata: The appearance of "white cord syndrome")
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F4
The postoperative MR images demonstrated worsening of cord edema extending to the lower brain stem [Figure 4].
(Six weeks post-operative T2 weighted MRI image showing high intensity patchy signal changes within the cord with cord swelling extending into the medulla oblongata and is unchanged from the immediate post-operative MRI)
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F5
T2 weighted MR scan was repeated 6 weeks later as seen in Figure 5, which documented the persistent "white cord syndrome" from C3 brain stem similar to the original immediate postoperative imaging. The patient was referred for palliative care.