MRI
Developmentally small cervical spinal canal with sagittal canal diameter of less than 11mm, suggestive of congenital stenosis1. Segmental OPLL from C2 to C7 levels as seen on CT scan causing further bony spinal canal stenosis.
Multilevel central disc protrusions and thickened posterior longitudinal ligament cause severe spinal canal stenosis, worst at C5/C6 level (6.5 mm in AP diameter) with spinal cord compression. Diffuse central high T2/STIR signal intensity of the spinal cord from C3/C4 to C6/C7 levels. A small focal area of intramedullary low signal intensity was seen on T2W and gradient echo images at C5/C6 level suggestive of haemorrhagic component. The rest of the visualized spinal cord is preserved.
Mild reduction in vertebral body heights of the C5 and C6 vertebra, there is no abnormal high signal intensity within. Alignment, rest of the vertebral body heights are preserved.
Minimal anterior paraspinal fluid collection extending from C2 to C6 level.
IMPRESSION: Congenital spinal canal stenosis, OPLL and multilevel disc herniations, worst at C5/C6 causing traumatic spinal cord injury with haemorrhagic component.