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Myelopathy but normal MRI: where next?
  1. S H Wong1,
  2. M Boggild2,3,
  3. T P Enevoldson2,3,
  4. N A Fletcher2,3
  1. 1
    Neurology Specialist Registrar
  2. 2
    Consultant Neurologists
  3. 3
    The Walton Centre for Neurology and Neurosurgery NHS Trust, Fazakerley, Liverpool, UK
  1. Dr S H Wong, The Walton Centre for Neurology and Neurosurgery NHS Trust, Lower Lane, Fazakerley, Liverpool L9 7LJ, UK; Sui.Wong{at}


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.

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