Dorsal thoracic arachnoid web (scalpel sign)

Case contributed by Abdulmajid Bawazeer
Diagnosis almost certain

Presentation

Intermittent back pain with no previous trauma or surgery.

Patient Data

Age: 40 years
Gender: Male
This study is a stack
Axial
T2
This study is a stack
Sagittal
T1
This study is a stack
Sagittal
T2
Download
Info

Dorsal indentation and anterior displacement of the mid-thoracic spinal cord giving scalpel sign associated with focal Increased cord signal on T2WI.

Case Discussion

The thoracic spinal cord is displaced anteriorly with subtle myelopathy on T2WI.

Differential diagnosis included ventral cord herniation (spontaneous or with prior surgery) and spinal arachnoid cyst.

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.