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We reviewed the contrast-enhanced MR images of 47 chronic compressive myelopathy cases (28 cervical OPLL and 19 cervical spondylotic myelopathy).In 5 cases, there were correlated areas of enhancement within the spinal cord on T1 weighted images with areas of increased signal intensity on T2 weighted images. Areas of enhancement within the spinal cord were classified into three types; enhancement area resembled fried eggs in the gray matter (two cases), enhancement of the white matter (one case), entire spinal enhancement (two cases).Following decompressive surgery, most of the symptoms improved except for numbness of the upper extremities and motor weakness of hands in the two cases showing enhancement which resembled fried eggs in the gray matter.

Intramedullary Gd-DTPA Enhanced Lesions in MRI of Chronic Compressive Cervical Myelopathy.