Acute Myelopathy
Acute Myelopathy
Search Pattern Assist ?History
Exam
CT- Contrast enhanced 0.5-1.0 mm thick sections were obtained in the axial plane and reformatted in the coronal and sagittal planes and viewed inter actively in 3 dimensions at the computer work station.
MRI- T1, T2 and STIR sequences were variably performed in the axial and sagittal plane with high-resolution techniques focused on the most suspicious levels based on clinical examination. These include images before and following the intravenous administration of a paramagnetic contrast agent.
Prior Study
Findings
Paraspinous soft tissues
Spine and epidural space
There is a destructive or erosive process present involving the vertebral body, its end plates, pedicles, or posterior elements at any level. [Yes/No]
There is an abnormality within the epidural space or involving the epidural venous plexus. [Yes/No]
There is an extra dural disease process present compressing the thecal sac and related neural elements. [Yes/No]
Thecal sac and subarachnoid space
The thecal sac is either intrinsically or extrinsically abnormal. [Yes/No]
There is altered signal intensity within the spinal subarachnoid space. [Yes/No]
There is abnormal enhancement of the spinal subarachnoid space and/or pia-arachnoid. [Yes/No]
There is evidence of abnormal vascularity or flow voids in the subarachnoid/pial and/or epidural space. [Yes/No]
Spinal cord
The spinal cord is displaced. [Yes/No]
The spinal cord is enlarged either focally, segmentally or diffusely. [Yes/No]
The spinal cord is smaller than normal either focally, segmentally or diffusely. [Yes/No]
There is a short segment lesion. [Yes/No]
There is a long segment lesion. [Yes/No]
There is a mass in the spinal cord abnormality. [Yes/No]
There is a mass in the spinal cord abnormality that is predominantly located in the central spinal cord. [Yes/No]
There is a syrinx or cyst in the spinal cord abnormality. [Yes/No]
There is a central spinal cord abnormality that alters its signal intensity, enhances and/or contains blood products. [Yes/No]
There is a spinal cord abnormality that alters its signal intensity and/or enhances or contains blood products distributed mainly along white matter tracts. [Yes/No]
There is a spinal cord abnormality that is predominately in gray matter that alters its signal intensity and/or enhances or contains blood products. [Yes/No]
There is an tract specific spinal cord abnormality. [Yes/No]
There is a spinal cord abnormality that predominately involves the dorsal root entry zones altering the signal intensity and/or enhancing or is associated with blood products. [Yes/No]
There is a spinal cord abnormality that predominately involves the ventral root entry zones or proximal roots of the cauda equina that alters the existing signal intensity and/or enhances or is associated with blood products. [Yes/No]
There is a spinal cord abnormality that predominately involves one of the arterial distribution. [Yes/No]
There is an abnormal signal on DWI. [Yes/No]
There is a central to ventral spinal cord that tapers to a “snake eye” configuration. [Yes/No]
Cauda equina
There is a cauda equina abnormality that predominately involves the conus medullaris and the root entry zones of the cauda equina that alters the normal signal intensity and/or enhances or is associated with blood products. [Yes/No]
There is a mass in the cauda equine. [Yes/No]
The roots of the cauda equina are abnormally distributed within the thecal sac. [Yes/No]
The roots of the cauda equina are abnormally enhancing and thick within the thecal sac. [Yes/No]
Brain
The cervical medullary junction is abnormal. [Yes/No]
Other visualized portions of the brain are abnormal. [Yes/No]