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Herniated cervical disc

Case Study
Casselman, Jan, M.D., Ph.D. Brugge, AZ St. Jan AV Belgium

Patient history:

A patient with hyperlordosis and degenerative cervical spine disease presented for an MR examination at General Hospital St. Jan, Brugge, Belgium.

MR examination:

The sagittal T2-weighted TSE and axial T2-weighted FFE images were acquired with the 16-channel SENSE NeuroVascular coil on Achieva 3.0T X-series.

 

Myelomalacia is seen at level C3-C4 (white arrow). The myelomalacia is caused by a disc hernia (double white arrowhead) and hyperthropic yellow ligaments, together resulting in spinal canal stenosis.

 

Note that the brainstem and T5 are both visible and that there is enough signal in the medulla at the level of the myelomalacia even though this area is situated 8.5 cm away from the posterior element of the coil.

 

Sagittal T2-weighted TSE Axial T2-weighted FFE
Sagittal T2-weighted TSE
Axial T2-weighted FFE

Diagnosis:

The myelomalacia is caused by a disc hernia and hyperthropic yellow ligaments, together resulting in spinal canal stenosis.

Clinical impact of SENSE NeuroVascular 16 coil:

The SENSE NeuroVascular 16 coil is used for imaging the cervical spine. The signals from the anterior and posterior elements provide deep penetration into the neck.

 

The larger FOV of the Achieva 3.0T X-series means a complete view from the back of the brain, right down to T5 or T6. The large FOV together with the high SNR provided by 3.0T also enables the study of more difficult patients.

Related information:



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Sep 4, 2008

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Case Study
Achieva 3.0T X-series
3T, Cervical spine, cspine, c-spine, Neuro
 

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