How to Read a MRI of Cervical Stenosis with Spinal Cord Injury Spine Surgeon in Colorado
We're now going to discussa patient with a cervical herniated disc herniated disc in the neck and this person ended up having some spinal cord injury because of it so on this side view mri we saw on the normal one again brain is up here this is the spinal cord coming down through here again the white stuff cerebral spinal fluid these are the vertebra and again these are the discs we can look down at the c five six disc here and we can see that there is a.
Disc herniation back here you can see it's compressing the spinal cord and that spinal cord compression is causing this patient some symptoms of a condition called myelopathy or spinal cord dysfunction we can see the cord itself has a uniform color until we get here where we can actually see some increased white or signal change within the cord which is an indication of some problems with the cells within the cord we can look at it from the top down view and again this yellow line shows us where this cut is and this is normal here you can see the spinal cord.
Surrounded by the csf with the nerve exit zones and as we march down the spine we continue to see that the spinal canal is nice and wide open there's still plenty of cerebral spinal fluid around the cord up until the point that we get to the injury where we can see the herniation is causing significant deformation of the spinal cord and if you look carefully you can see this white area in the cord and if we go down to the level right below the herniation you can see the white area over the cord injury level.
Within the cord at the level below but this is the level of the herniation that is causing that compression this is a stir image of the spinal cord this is very similar to the t two image that we saw where the water was white you'll see with this stir image the water is still white but the fat back here and the fat in the bones is suppressed it allows us to see inflammation with a better vantage point and again if you follow the spinal cord and you see where the injury is you can see all of the edema in the cord because.
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