LONG SEGMENT >3 vertebral segments

INDEX

CERVICAL SPONDYLOSIS

                                                                                

                                                                                                                         Short Segment Myelopathy                       MCQs on this topic   

PANCAKE
LOCATION
 
SAGITTAL T2
POST CONTRAST
Other features
 

Cervical
Long or Short
(Variable length of lesion)

Single

Pancake-like transverse band of enhancement (in which
the width is greater than the height) at the center of
spindle-shaped T2-hyperintensity.

Cervical canal stenosis
Other spondylotic changes; 
Slow resolution of enhancement after 
surgery (1-2 years)

Ref 2

 


Ref 2

 

 

3 further examples4

 

 

 



 		  
AXIAL T2
POST CONTRAST
    Central owl eye
STIR sequence

Axial: circumferential white matter enhancement, sparing gray matter

   

 

 

References

 

  1. Lee MJ, Aronberg R, Manganaro MS, Ibrahim M, Parmar HA. Diagnostic Approach to Intrinsic Abnormality of Spinal Cord Signal Intensity. Radiographics. 2019 Oct;39(6):1824-1839
  2. Flanagan EP, Krecke KN, Marsh RW, Giannini C, Keegan BM, Weinshenker BG. Specific pattern of gadolinium enhancement in spondylotic myelopathy. Ann Neurol. 2014 Jul;76(1):54-65. doi: 10.1002/ana.24184. Epub 2014 Jun 14. PMID: 24838831.