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Old 10-21-2009
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MRI Diagnose this T2-weighted MRI of cervical spine

Diagnose this T2-weighted MRI of cervical spine-2009-10-21_2032.jpg

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Old 10-21-2009
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Is that a syringomyelia ?
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@Aviram

Precisely...Syringomyelia..
Features-
  • Destruction of gray and white matter adjacent to the central canal of the cervical spinal cord leads to cavitation and fluid collection within the cord
  • Associated with Arnold-Chiari malformation
  • loss of pain and temperature appreciation in a "cape" distribution owing to the destruction of fibers crossing in front of the central canal
  • Typically, there is a dissociated sensory loss at the level of the lesion; pinprick and temperature appreciation are impaired, but light touch sensation is preserved(Dissociate anesthesia is the hallmark)

And the syrinx is at the level of C6-C7 vertebrae.
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Last edited by rasheed; 10-21-2009 at 07:41 PM.
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Old 10-22-2009
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Nice photo quiz! I guess if this comes out during my exam, I will really owe you one docspike.
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Old 10-23-2009
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Default cervical area only

Does this happen only in that area or can it occur lower down and why does it only occur there if that is the case
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Its a developmental abnormality...one of the hypotheses is that there is abnormality in CSF flow(obstruction/pressure) which leads to cavity formation...this is supported by its association with arnold chiari malformation(More than 50% of these cases have Syringomyelia)...cavity formation can also occur after trauma, due to some tumors...

This is commonly seen in cervical region...I dont know why here only...i will try getting more info..
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MRI-Images, Neuroanatomy-, Radiographs-

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