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Training Collections
Library Memberships
Black Friday Save 30%On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Black Friday Save 30%Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Black Friday Save 40%Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
BLACK FRIDAY SAVE 30%Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Intradural Intramedullary Spinal Lesions Pre-Course Activities
1 topic, 4 min.
Lesson
Introduction to Spinal Imaging - Intradural Intramedullary Lesions
6 topics, 21 min.
Lesson
Neoplasms
13 topics, 42 min.
Neoplasms of the Intradural Intramedullary Space
1 m.Ependymoma Associated with NF2
4 m.Ependymoma
2 m.Myxopapillary Ependymoma
2 m.Cervical Spinal Cord Astrocytoma
4 m.Cervical Spinal Cord Glioblastoma
4 m.Hemangioblastoma of the Spinal Cord
4 m.Hemangioblastoma at the Conus Medullaris
4 m.Neurologic Manifestations of Von Hippel Lindau Disease
4 m.Additional Spinal Canal Manifestations of VHL
3 m.Cervical Spinal Cord Ganglioglioma
3 m.Rare Case of a Spinal Cord Lipoma
3 m.Summary of Intradural Intramedullary Neoplasms
12 m.Lesson
Demyelinating
4 topics, 17 min.
Lesson
Infection/Inflammation
7 topics, 33 min.
Acute Disseminated Encephalomyelitis of the Spinal Cord
4 m.Summary of Acute Disseminated Encephalomyelitis
2 m.Chiari 1 with Syringohydromyelia
5 m.Summary of congenital lesions of the spinal cord
11 m.Spinal Cord Infectious and Inflammatory Disorders
6 m.Cysticercosis of the Spinal Cord
4 m.Sarcoidosis of the Spinal Cord
5 m.Lesson
Trauma and Vascular Disorders
9 topics, 39 min.
Hemorrhage within the Spinal Cord
4 m.Hematomyelia and Spinal Cord Cavernomas
7 m.Cavernoma of the Spinal Cord
3 m.Dural Arteriovenous Fistula
5 m.Type II Dural AVF and its Potential Consequences
5 m.Intramedullary AVM in the setting of Type II Dural AVF
2 m.Assessing Vascular Malformations on MRA
5 m.Common Causes and Imaging of Spinal Cord Ischemia/Infarction
8 m.Spinal Cord Infarct
5 m.Lesson
Idiopathic/Acquired
4 topics, 16 min.
0:00
Well, I said that I lied to you twice early on
0:03
in this presentation, but actually,
0:06
now I'm going to tell you I've lied to you three times.
0:08
Here is an example of a patient who has
0:11
degenerative disease at the C3 and C4 level.
0:19
And you can see that there is severe spinal
0:23
stenosis at C3-C4 and C4-C5, associated with a
0:28
focal area of cord signal abnormality
0:31
opposite the C4-C5 level.
0:34
Now, I told you that the CSF space will expand when you
0:39
have cord atrophy. Well, that's true in general.
0:45
However, if you have spinal stenosis,
0:49
you notice that the canal gets narrowed
0:54
and therefore you will not see the
0:56
CSF expansion when you have spinal stenosis.
1:02
Here's the axial scan.
1:04
You note that the culprit here is something called
1:08
OPLL, Ossification of the Posterior Longitudinal Ligament,
1:11
which is compressing the spinal cord,
1:13
which has abnormal cord signal.
1:20
However, we don't have expansion of the CSF space
1:23
around the narrowed canal because it's narrowed
1:27
and there is no location or place for the CSF to expand to.
1:33
So this is an example again of spondylomyelopathy
1:37
injury to the spinal cord due to spondylosis
1:40
degenerative disease, associated with cord atrophy,
1:44
but no expansion of the CSF space
1:47
because of that spinal stenosis,
1:50
which is demonstrated quite nicely
1:53
at the C3-C4 and C4-C5 level.
Spondylomyelopathy Causing Cord Atrophy
HIDEInteractive Transcript
0:00
Well, I said that I lied to you twice early on
0:03
in this presentation, but actually,
0:06
now I'm going to tell you I've lied to you three times.
0:08
Here is an example of a patient who has
0:11
degenerative disease at the C3 and C4 level.
0:19
And you can see that there is severe spinal
0:23
stenosis at C3-C4 and C4-C5, associated with a
0:28
focal area of cord signal abnormality
0:31
opposite the C4-C5 level.
0:34
Now, I told you that the CSF space will expand when you
0:39
have cord atrophy. Well, that's true in general.
0:45
However, if you have spinal stenosis,
0:49
you notice that the canal gets narrowed
0:54
and therefore you will not see the
0:56
CSF expansion when you have spinal stenosis.
1:02
Here's the axial scan.
1:04
You note that the culprit here is something called
1:08
OPLL, Ossification of the Posterior Longitudinal Ligament,
1:11
which is compressing the spinal cord,
1:13
which has abnormal cord signal.
1:20
However, we don't have expansion of the CSF space
1:23
around the narrowed canal because it's narrowed
1:27
and there is no location or place for the CSF to expand to.
1:33
So this is an example again of spondylomyelopathy
1:37
injury to the spinal cord due to spondylosis
1:40
degenerative disease, associated with cord atrophy,
1:44
but no expansion of the CSF space
1:47
because of that spinal stenosis,
1:50
which is demonstrated quite nicely
1:53
at the C3-C4 and C4-C5 level.
Report
Description
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Tags
Spine
Non-infectious Inflammatory
Neuroradiology
Musculoskeletal (MSK)
MRI
Acquired/Developmental
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