Imaging Approach to the Cord T2 Hyperintensity (Myelopathy)

Allison M. Grayev, Jennifer Kissane, Sangam Kanekar

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations


In clinically suspected cases of myelopathy, magnetic resonance imaging without and with gadolinium remains the modality of choice. The first and best imaging approach in the evaluation of myelopathy is to identify whether the cause of myelopathy is compressive or noncompressive. The commonest imaging finding in myelopathy is either focal or diffuse cord hyperintensity on the T2-weighted magnetic resonance images. Detailed clinical history, acuity of symptoms (acute vs insidious onset), distribution of the signal abnormalities, including length of cord involvement, specific tract involvement, and the region of the spinal cord that is affected, are very useful in making the diagnosis.

Original languageEnglish (US)
Pages (from-to)427-446
Number of pages20
JournalRadiologic Clinics of North America
Issue number2
StatePublished - Mar 2014

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging


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