Diffusion-weighted MRI of the cervical cord in acute spinal cord injury with type II odontoid fracture

J Comput Assist Tomogr. Jul-Aug 2002;26(4):654-6. doi: 10.1097/00004728-200207000-00032.


The authors present a case of acute spinal cord injury demonstrated by diffusion-weighted MRI (DWI) of the cervical cord. DWI taken 2 hours after injury showed intramedullary hyperintensity with a decrease of the apparent diffusion coefficient (ADC) value at C1-C2 vertebral levels. On T -weighted images obtained 1 month after injury, the lesion was hyperintense, indicating the existence of myelomalacia. DWI of the cervical cord provided satisfactory images and was a useful method for detecting and visualizing of the affected cord in the super-early stage.(2)

Publication types

  • Case Reports

MeSH terms

  • Cervical Vertebrae / pathology
  • Diffusion
  • Echo-Planar Imaging
  • Humans
  • Image Enhancement*
  • Magnetic Resonance Imaging*
  • Male
  • Middle Aged
  • Neurologic Examination
  • Odontoid Process / injuries*
  • Odontoid Process / pathology
  • Sensitivity and Specificity
  • Spinal Cord Injuries / diagnosis*
  • Spinal Fractures / diagnosis*