MRI, medical imaging, ct scan, radiology,radiography,
Feb 08

History (HX):
Paresis of both upper limbs and right lower limb

Male   75yr

Findings:
Sagital and axial T2WI show symmetric, longitudinally ariented zones of high signal intensity involving the dorsal columns of the spinal cordDiagnostic (DX):
Subacute combined degeneration of the spinal cord (SDC of the spinal cord)

Discussion:
Intramedullary signal abnormalities can resolve after correction of the vitamin B12 deficiency

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