Presentation
Acute paraplegia
Patient Data
Age: 50 years
Gender: Male
From the case:
Spinal cord infarct
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There is an increased T2 signal in the central grey matter, with diffusion restriction and without enhancement, involving the lower spinal cord and conus medullaris, at T10, T11, and T12 levels.
In the T2-weighted axial image, there are bilateral symmetric well-circumscribed ovoid foci of high signal in the anterior horn (owl-eyes sign).
Case Discussion
Rapid onset paraplegia and hypersignal in the lower spinal cord with owl-eyes sign suggest spinal cord infarct.