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Sequential CT scanning in radiation myelopathy.

P Tugendhaft, D Baleriaux, J M Gerard

    Journal of Neuro-Oncology
    |January 1, 1984
    PubMed
    Summary
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    Radiation myelopathy typically shows normal myelography, but can present with temporary spinal cord enlargement due to edema or later atrophy. This case report uses serial X-rays to document these radiation myelopathy changes.

    Area of Science:

    • Radiology
    • Neurology
    • Oncology

    Background:

    • Radiation myelopathy is a potential complication of spinal radiotherapy.
    • Myelography findings in radiation myelopathy are variable, often normal, but can include cord enlargement or atrophy.

    Purpose of the Study:

    • To document the sequential radiological changes in radiation myelopathy using repeated X-ray investigations.
    • To investigate the temporal relationship between spinal cord edema and atrophy in radiation myelopathy.

    Main Methods:

    • Case report detailing serial myelographic examinations.
    • Repeated X-ray investigations of the spinal cord.

    Main Results:

    • The study observed changes in spinal cord size on myelography over time.

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  • Findings suggest that spinal cord enlargement may be an early, transient sign of radiation myelopathy, potentially due to edema.
  • Later stages appeared to correlate with spinal cord atrophy.

    • Conclusions:

    • Sequential radiological examinations can demonstrate the evolution of myelographic findings in radiation myelopathy.
    • The findings support the hypothesis that spinal cord enlargement is an early, edematous change, while atrophy represents a later stage of radiation-induced spinal cord injury.