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Nowadays, MRI has all but replaced myelography. [4] MRI is preferable because injection of contrast medium into the spinal canal is infrequently needed for better images. However, a CT myelogram may be useful for patients who cannot undergo MRI (e.g., those with pacemakers or cochlear implants). CT is preferred when MRI images are limited by ...
Subacute compression develops over days to weeks. Acute compression develops within minutes to hours. Acute compression may follow subacute and chronic compression, especially if the cause is abscess or tumor. Regardless of the pace, spinal cord compression will predictably progress over time. [1] [2]
When due to trauma, myelopathy is known as (acute) spinal cord injury. When inflammatory, it is known as myelitis. Disease that is vascular in nature is known as vascular myelopathy. In Asian populations, spinal cord compression often occurs due to a different, inflammatory process affecting the posterior longitudinal ligament. [citation needed]
[19] [20] MRI is useful to diagnose cervical spondylotic myelopathy (degenerative arthritis of the cervical spine with associated damage to the spinal cord). [21] The finding of degeneration of the cervical spinal cord on MRI can be ominous; the condition is called myelomalacia or cord degeneration. It is seen as an increased signal on the MRI.
Once the spinal injury has occurred, one of two things may happen. Firstly, hemorrhaging within the spinal cord may cause compression, which damages the spinal cord even further. Another consequence of myelomalacia is improper circulation of blood to the area damaged, resulting in further damage to the spinal cord. [citation needed]
Functional magnetic resonance imaging (fMRI) of the spinal cord (spinal fMRI) is an adaptation of the fMRI method that has been developed for use in the brain. Although the basic principles underlying the methods are the same, spinal fMRI requires a number of specific adaptations to accommodate the periodic motion of the spinal cord, the small cross-sectional dimensions (roughly 8 mm × 15 mm ...
Additionally, Faust said, if the officers’ attack had injured Brooks’ spinal cord, officers should have immediately worked to stabilize his spine, holding his neck in place and then assessing ...
CT gives greater detail than X-rays, but exposes the patient to more radiation, [91] and it still does not give images of the spinal cord or ligaments; MRI shows body structures in the greatest detail. [10] Thus it is the standard for anyone who has neurological deficits found in SCI or is thought to have an unstable spinal column injury. [92]