EANS Case of the Month

Title: Cervical myelopathy?!

Author: Jens Gempt, Bernhard Meyer, Florian Ringel

Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universit√§t M√ľnchen, Germany

A 49-year-old female patient presented with a gait disturbance, loss of sensory function below TH4 and bladder dysfunction. The symptoms were slowly progressive since more than 12 months.

Figure 1:


* 1. What would be the differential diagnosis based on the MRI imaging?

* 2. What would be the next step?