July 22, 2013
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Key Result
This review discusses the differential diagnoses and further investigation strategies for patients presenting with myelopathy but normal spinal magnetic resonance imaging.
Structured PICO
P
Population
Patients presenting with a spinal cord syndrome or myelopathy with normal spinal imaging
This review discusses the differential diagnosis and further investigation of patients presenting with myelopathy but normal spinal MRI.
Abstract
For most patients presenting with a spinal cord syndrome MR scanning has become the key investigation in establishing the diagnosis. However, myelopathy with normal spinal imaging remains a common clinical conundrum. In this review we discuss the diagnoses to consider for the neurologist presented with a patient with “MR normal myelopathy”. We will illustrate this scenario with a series of short cases and consider the further investigation of “MRI normal” myelopathy.