title: Myelopathy but normal MRI: where next?
abstract: For most patients presenting with a spinal cord syndrome MR scanning has become the key investigation in establishing the diagnosis. However, myelopathy with normal spinal imaging remains a common clinical conundrum. In this review we discuss the diagnoses to consider for the neurologist presented with a patient with "MR normal myelopathy". We will illustrate this scenario with a series of short cases and consider the further investigation of "MRI normal" myelopathy.
authors.affiliation: The Walton Centre for Neurologyand Neurosurgery NHS Trust,Fazakerley, Liverpool, UK. Sui.Wong@thewaltoncentre.nhs.uk
authors.forename: S H
authors.initials: SH
authors.lastname: Wong
authors.forename: M
authors.initials: M
authors.lastname: Boggild
authors.forename: T P
authors.initials: TP
authors.lastname: Enevoldson
authors.forename: N A
authors.initials: NA
authors.lastname: Fletcher
mesh_terms: D000293:Adolescent; D000368:Aged; D001921:Brain / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013116:Spinal Cord / Q000473:pathology*; D013118:Spinal Cord Diseases / Q000175:diagnosis*