Snake eyes of myelomalacia

Case contributed by Dr Yune Kwong


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

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.


Post-operative scan

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
Published: 30th Dec 2013
Last edited: 20th Nov 2019
Tag: spine
Inclusion in quiz mode: Included

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