Evidence of the craniovertebral junction anomaly with most likely Os odontoideum as well as backward displacement of the C2 vertebral body which is seen significantly compressing the cervicomedullary junction in addition to the upper cervical cord with evidence of focal myelomalacia
; the cervicomedullary junction and the upper cervical cord appear significantly compressed with intramedullary bright T2 signal intensity, and there was no evidence of post contrast enhancement.
Cerebral and whole- spinal magnetic resonance imaging examination revealed a prominent posterior angulation of the odontoid in the craniocervical junction, spinal cord compression, and myelomalacia
In addition, other neurological condition should be listed, such as intervertebral disc protrusion with spinal cord compression (FOSS et al., 1983), discospondylitis, abscesses (ADAMS et al., 1985), rabies, neurological infection by herpesvirus, equine protozoal myeloencephalitis, wobbler syndrome due to cervical vertebral malformation (ZACHARY, 2013; CANTILE & YOUSSEF, 2016) and post-anesthetic myelomalacia
(JOUBERT et al., 2005).
Upon removal of the foreign body some diffuse bleeding would be expected, which combined with the already inflamed spinal cord parenchyma would likely further compromise the spinal cord, potentially causing vascular complications and myelomalacia
, all of which would further decrease the chance of clinical improvement.
He then developed generalised weakness, and an MRI showed C2-7 central canal stenosis and myelomalacia
. Following laminectomy and instrumented fusion, his respiratory symptoms completely resolved.
An MRI demonstrated a significant narrowing of the cervical spinal canal with myelomalacia
signs, edema, and hemorrhagic contusion at the level of C3-C6.
Kian was born with cervical myelomalacia
, which is a condition of having a thin spinal cord.
MRI done in all patients to evaluate the extent of vertebral body involvement, presence of epidural collection, cord compression, myelomalacia
, paravertebral collection and presence of skip lesions.
(20,21) Within the parenchyma of the cord syringomyelia and myelomalacia
may develop as a result of vacuolization, atrophy, and central necrosis.