Fig. 1
From: T2* dynamic contrast enhanced MR perfusion for cervical cord lesions; does it work?
Thirty-seven-year-old male patient presented by acute onset of bilateral lower limb weakness and neck pain. a Sagittal T2 revealed abnormal T2 hyperintense signal spanning over the cervicomedullary junction till CV4 level. b T1W pre and c post contrast showing faint patchy enhancement. d rCBV was calculated in relation to the normal lower cervical cord, showing e hypoperfusion (arrow to red curve) compared to the normal cord (yellow curve), suggesting non-neoplastic inflammatory process. Green curve indicates the pons. Initial clinical diagnosis of viral myelitis (zoster) due to appearance of skin eruptions, the patient improved clinically, confirming its non-neoplastic nature