Spinal Cord Infarction in a Patient with Hereditary Spherocytosis: A Case Report and Discussion

Figure 2

(a) Sagittal T2 weighted Fast Spin echo (FSE) MR image shows spinal cord expansion (swelling) with abnormal increased T2 signal extending from the C4 level to the T2 level (between the white arrows). (b) Sagittal DWI trace image shows abnormal increased signal intensity between C4 and T2, corresponding to the abnormal T2 signal noted on Sagittal T2 FSE imaging. (c) Sagittal apparent diffusion coefficient (ADC) map shows abnormal restriction of diffusion (dark signal in spinal cord indicated by arrows and asterisks) indicating that the increased signal on the DWI trace image represents diffusion restriction (not T2 shine through). (d) Axial T2 weighted FSE image at the C4 level shows cord expansion (swelling) and abnormal increased T2 signal within the swollen, edematous central gray matter (single asterisks indicate anterior horns and double asterisks indicate posterior horns of central gray matter). White arrows indicate uninvolved dorsal columns of the spinal cord.

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