• Conventional and advanced MR techniques may aid in the diagnosis of motor neuron disease.• Iron-sensitive MR imaging of the primary motor cortex may reveal changes to help differentiate hereditary spastic paraplegia (HSP) from UMM predominant amyotrophic lateral sclerosis (UMN-ALS) and primary lateral sclerosis (PLS).• Additional research in this area is necessary.
Keywords: Amyotrophic lateral sclerosis; Hereditary spastic paraplegia; Magnetic resonance imaging; Primary lateral sclerosis; Primary motor cortex.
© 2022. The Author(s), under exclusive licence to European Society of Radiology.