Sagittal and Axial T2 and T1 sequences of the cervical and thoracic spine show
long segment cord edema with expansion of the spinal cord involving the entire
length of the cervical cord and patchy involvement of the thoracic cord.
Post Contrast T1 images show patchy enhancement of the cervical and thoracic
spinal cord. The axial images localize the abnormal enhancement in the outer
regions of the cord. A post contrast image through the orbit shows abnormal
enhancement of the optic nerves bilaterally.
Sagittal images through the cervical and thoracic cord 2 years after presentation
show profound cord atrophy. There is central T2 signal hyperintensity in the
cervical cord likely representing gliosis and myelomalacia.
Key words: mri demyelinating inflammation
Spine & ENT Diagnosis:
Devic's disease (Neuromyelitis optica)
An aggressive form of multiple sclerosis