Imaging of non-traumatic and non-tumoral cord lesions

There is a wide range of spinal cord pathologies (vascular, inflammatory, infectious, metabolic, degenerative). They present clinically as acute partial or complete cord syndromes, or chronic myelopathies (more than 4 weeks in duration). MRI examination should be undertaken with a very strict protoc...

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Bibliographic Details
Published in:Journal de radiologie 2010-09, Vol.91 (9 Pt 2), p.969-987
Main Authors: Kremer, S, Holl, N, Schmitt, E, De Sèze, J, Moser, T, Dietemann, J-L
Format: Article
Language:fre
Subjects:
Adolescent
Diagnosis, Differential
Diffusion Magnetic Resonance Imaging
Humans
Image Processing, Computer-Assisted
Lyme Neuroborreliosis - diagnosis
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Male
Multiple Sclerosis - diagnosis
Myelitis - diagnosis
Myelitis - etiology
Sensitivity and Specificity
Spinal Cord - pathology
Spinal Cord Compression - diagnosis
Spinal Cord Compression - etiology
Spinal Cord Diseases - diagnosis
Spinal Cord Diseases - etiology
Spinal Cord Ischemia - diagnosis
Spinal Cord Ischemia - etiology
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Summary:There is a wide range of spinal cord pathologies (vascular, inflammatory, infectious, metabolic, degenerative). They present clinically as acute partial or complete cord syndromes, or chronic myelopathies (more than 4 weeks in duration). MRI examination should be undertaken with a very strict protocol. Spinal cord lesions should be evaluated with regards to their T1W and T2W signal characteristics, involvement of grey and/or white matter, axial and sagittal extension, cord volume changes, contrast uptake and associated lesions (perimedullary, radicular or brain). The correlation of MR imaging features with clinical and biological data (blood and CSF) should suggest a differential diagnosis.
ISSN:0221-0363
DOI:10.1016/S0221-0363(10)70143-8