case_images: PMC7608839_01
case_images: MR image showing multilevel degeneration involving L2-S1. a) Sagittal cut image, b) Axial cut at L2-L3 level, c) Axial cut at L3-L4 level, d) Axial cut at L4-L5 level.
case_images: bmed-10-01-045f1.jpg
case_images: PMC7608839_01_bmed-10-01-045f1.jpg
case_images: f1-bmed-10-01-045
case_images: However, MR imaging revealed only mild spinal canal stenosis from L2-L5 and C3-C6 levels without any cord signal changes, unlikely to cause the debilitating effects (Figs. 1 and 2).
case_images: MR image showing mild spinal canal stenosis at C3-C6 levels. a) Sagittal cut image, b) Axial cut at C3-C4 level, c) Axial cut at C4-C5 level, d) Axial cut at C5-C6 level.
case_images: bmed-10-01-045f2.jpg
case_images: PMC7608839_01_bmed-10-01-045f2.jpg
case_images: f2-bmed-10-01-045
case_images: However, MR imaging revealed only mild spinal canal stenosis from L2-L5 and C3-C6 levels without any cord signal changes, unlikely to cause the debilitating effects (Figs. 1 and 2).
case_images: Second MR image showing mild cord signal changes on top of the C3-C6 canal stenosis seen earlier, suggestive of early myelomalacia. a) Sagittal cut image, b) Axial cut at C3-C4 level, c) Axial cut at C4-C5 level, d) Axial cut at C5-C6 level.
case_images: bmed-10-01-045f3.jpg
case_images: PMC7608839_01_bmed-10-01-045f3.jpg
case_images: f3-bmed-10-01-045
case_images: MR imaging of the whole spine was repeated which showed mild cord signal changes on top of the C3-C6 canal stenosis seen earlier, suggestive of early myelomalacia (Fig. 3).
case_images: Third MR image demonstrating significant cord signal changes (T2 hyperintensities) from C2 to C7 levels. a) Sagittal cut image, b) Axial cut at C3-C4 level, c) Axial cut at C4-C5 level, d) Axial cut at C5-C6 level.
case_images: bmed-10-01-045f4.jpg
case_images: PMC7608839_01_bmed-10-01-045f4.jpg
case_images: f4-bmed-10-01-045
case_images: MR imaging was once again repeated which demonstrated significant cord signal changes (T2 hyperintensities) from C2 to C7 levels, without expansion or enhancement (Fig. 4).