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Congress: ECR25
Poster Number: C-22263
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-22263
Authorblock: G. A. Iancu, S. Nastase, D. Ciobotaru, C. Eugurof, V. Stefanescu, C. A. Radut, N. Sarbu; Galati/RO
Disclosures:
Georgiana Alina Iancu: Nothing to disclose
Stefania Nastase: Nothing to disclose
Daniela Ciobotaru: Nothing to disclose
Constantin Eugurof: Nothing to disclose
Victorita Stefanescu: Nothing to disclose
Camelia Adriana Radut: Nothing to disclose
Nicolae Sarbu: Nothing to disclose
Keywords: CNS, Neuroradiology spine, Oncology, MR, MR-Diffusion/Perfusion, Myelography, Surgery, Infection, Metabolic disorders, Neoplasia
Learning objectives To review the etiologies of myelopathies and their frequencies To describe all the magnetic resonance imaging manifestations To establish an accurate differential diagnosis, based on clinical and radiological findings
Read more Background Myelopathy represents an injury to the spinal cord, with various etiologies, including vascular, metabolic, demyelinating, infectious or neoplastic disorders, often with specific imaging findings. Myelopathies can have compressive or non-compressive causes. Compressive myelopathy primarily results from degenerative factors and neoplastic lesions (astrocytoma, meningioma, ependymoma), closely followed by inflammatory disorders (multiple sclerosis, acute disseminated encephalomyelitis).
Read more Findings and procedure details MR imaging offers valuable information regarding the analysis of spinal lesions, as the location (posterior and lateral in multiple sclerosis, anterior in arterial infarction) and the size (short segment in multiple sclerosis or long segment in ischemia or neuromyelitis optica) can suggest the incriminated pathology.The vast majority of lesions are isointense or hypointense on T1WI, but hemorrhagic, fatty or melanotic elements appear hyperintense. T2WI and STIR (short tau inversion recovery) usually show hyperintensity of the lesion. For a better appreciation...
Read more Conclusion An accurate and early diagnosis will guide the treatment and will provide information about the prognosis of the patient.
Read more References Ana María Granados Sánchez, Lina María García Posada, César Andrés Ortega Toscano, Alejandra López López, Diagnostic approach to myelopathies, Rev Colomb Radiol.2011;22:(3)1-21; Allan R. Martin, MD, PhDa, Nobuaki Tadokoro, MD, PhDb , Lindsay Tetreault, PhDc, Elsa V. Arocho-Quinones, MD , Matthew D. Budde, PhD, Shekar N. Kurpad, MD, PhDf , Michael G. Fehlings, MD, PhD, FRCSC, Imaging Evaluation of Degenerative Cervical Myelopathy Current State of the Art and Future Directions, https://doi.org/10.1016/j.nec.2017.09.003; Gaillard F, Feger J, Silverstone L, et al. Ossification of the...
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