Presentation
Request reads 'bilateral leg weakness, brisk knee jerk, absent ankle jerk, MRI spine to rule out myelopathy'
Patient Data
Age: 70 years
Gender: Female
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
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On sagittal images, there is central canal stenosis with high cord signal consistent with myelomalacia. On axials, the gray matter is seen to be edematous and hyperintense, giving the 'snake eyes' sign.
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Following wide laminectomy, there is resolution of the cord compression, and improvement in the grey matter hyperintensity.