Compressive myelopathy

Case contributed by Hoe Han Guan


Neck pain and bilateral thenar muscle pain for 3 months.

Patient Data

Age: 65 years
Gender: Female

Multi-level diffuse disc osteodiscal complexes are seen from C3/C4 to C6/C7 levels, resulting in moderate to severe spinal canal stenosis.

Intramedullary hyperintensity on T2WI/STIR sequences noted within cervical spinal cord at the C4/C5 and C6/C7 levels.

Abnormal bone marrow signal intensity noted at the C6 and C7 vertebral bodies where hypointensity on T1WI and corresponding hyperintensity on T2WI and STIR sequences, in keeping with Modic type I changes.

Bilateral C6 neuroforamina are narrowed causing bilateral C7 exiting nerve roots to be compromised.

Case Discussion

Degenerative cervical spondylosis with multi-level neuro foraminal stenosis from C3/C4 till C6/C7 and compressive myelopathy at C4/C5 and C6/C7 levels.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.