Figure 7

Stroke Mimics: Insights from a Retrospective Neuroimaging Study

Lucia Monti*, Davide del Roscio, Francesca Tutino, Tommaso Casseri, Umberto Arrigucci, Matteo Bellini, Maurizio Acampa, Sabina Bartalini, Carla Battisti, Giovanni Bova and Alessandro Rossi

Published: 27 September, 2023 | Volume 7 - Issue 2 | Pages: 094-103

jnnd-aid1083-g007

Figure 7:

Figure 7: Spinal cord compression. Panel a. Stroke code: 58 years old male presenting with suddenly augmentation right upper limb paresis and paraesthesia. (a) No-contrast brain CT and intracranial CTA (not showed) did not reveal any vascular or parenchymal abnormalities or subacute ischemic lesions MRI did not demonstrate brain areas of restricted diffusion were evident on (b) DWI or FLAIR (c) signal alteration. The non-contrast CT of the cranio-cervical tract shows the odontoid process dislocated superiorly with involvement of the foramen magnum.(d) Panel b. Axial T2-weighted MRI images show “owl-eyes” sign at C1/C2 level (e). Intramedullary lesions at C1/C2 level were confirmed diffusion images (f).Cervical spine CT and sagittal reconstruction (g) and T2 sagittal images revealed an odontoid process subluxation and the focal hyperintensity of cervical spinal cord (h) Diagnosis: Cervical myelopathy. Atlantoaxial instability for degenerative changes caused the spinal cord compression and acute myelopathy.

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