Myelopathy but normal MRI: where next?
- 1Neurology Specialist Registrar
- 2Consultant Neurologists
- 3The Walton Centre for Neurology and Neurosurgery NHS Trust, Fazakerley, Liverpool, UK
- Dr S H Wong, The Walton Centre for Neurology and Neurosurgery NHS Trust, Lower Lane, Fazakerley, Liverpool L9 7LJ, UK; Sui.Wong{at}thewaltoncentre.nhs.uk
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.
