CASE HISTORY/CLINIC:
49-year-old patient with motoric dysfunctions and neurological deficits.


FINDINGS:
Intramedullar elongated mass lesion can be seen in the cervical spinal cord (level: C2-C4) with signal that is isointense to spinal cord (solid tumor components) and small central fluid- isotense areas (cystic tumor components).
The tumor shows a homogeneous contrast enhancement on the postcontrast T1-w image. The cystic portions donot enhance. Evidence of homogeneous liquor-isotense areas above and below the tumor


DIAGNOSIS:
Intramedular astrozytoma with syringohydromyelia


DIFFERENTIAL DIAGNOSIS:
Ependymoma
Hemangioblastoma



web resources:

1) Medicine worldwide
2) DGN
3) ACR Learning file
4) Amersham Health