Snake eyes of myelomalacia

Case contributed by Dr Yune Kwong

Presentation

Request reads 'bilateral leg weakness, brisk knee jerk, absent ankle jerk, MRI spine to rule out myelopathy'

Patient Data

Age: 70-75 years old
Gender: Female

Initial scan

Modality: MRI

On sagittal images, there is central canal stenosis with high cord signal consistent with myelomalacia. On axials, the gray matter is seen to be oedematous and hyperintense, giving the 'snake eyes' sign.

Post-operative scan

Modality: MRI

Following wide laminectomy, there is resolution of the cord compression, and improvement in the grey matter hyperintensity.

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Case Information

rID: 26608
Case created: 30th Dec 2013
Last edited: 15th Dec 2015
Tag: spine
Inclusion in quiz mode: Included

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