MR Imaging Findings of Spinal Posterior Column Involvement in a Case of Miller Fisher Syndrome
Nobuhiro Inouea,
Homare Ichimuraa,
Satoshi Gotob,
Yoichiro Hashimotoc and
Yukitaka Ushiob
a Department of Neurosurgery, Health and Insurance Hitoyoshi General Hospital, Kumamoto, Japan
b Department of Neurosurgery, Kumamoto University Hospital, Kumamoto, Japan
c Department of Neurology, Kumamoto Citizen’s Hospital, Kumamoto, Japan
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FIG 1. MR imaging findings of the posterior fossa on admission. A, Axial view at the level of medulla and cerebellum. B, Axial view at the level of pons and cerebellum. C, Axial view at the level of midbrain. T2-weighted image, T1-weighted image, and gadolinium-enhanced images of each section indicated as 1, 2, and 3, respectively.
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FIG 2. MR imaging findings of the sagittal spinal cord on admission at the lumbosacral level. A, T2-weighted image. B, T1-weighted image. C, Gadolinium-enhanced image. There is strong enhancement of the cauda equinae.
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FIG 3. MR imaging findings on the spinal cord at 5 months after onset. Sagittal (A and C) and axial (B and D) views of T2-weighed images showing the hyperintense lesions confined to the spinal posterior column extending from the level of C1–Th12. A, Sagittal image of the cervical spine. B, Axial image at the level of C4/ C5. C, Sagittal image in the thoracic spine. D, Axial image at the level of T8/T9.
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