Aa
A
A
Close
Avatar universal
CT Myelography vs MRI
I am a 50 yr old male with progressive leg weakness since Nov, 2004.  I have severe spine osteoporosis from an undetermined cause.  My lumbar vertebrae are at 3.55 and 3.77 for two vertebrae and similar scores for the other two.  My hip is normal bone density.  I went to Mayo Clinic in 2004 to find a cause for the osteoporosis but none was found.  I have degenerative disc disease and arthritis of the spine.  On MRI, there is no spine stenosis or nerve impingement.  All levels from cervical to sacral have been imaged.

I do want to mention that I also have parenchymal volume loss of the brain and a brain lesion perpendicular to the lateral ventricles.  Evoked potentials are normal although the tech was having much trouble getting a signal in the spine.  My orthopedic surgeon has suggested a CT Myelography to  see if any nerve impingement shows up, but my neurologist said the CT Myelography is inferior to the MRI and it would be an unnecessary test.

In your opinion, is a CT Myelography warranted or would any nerve impingement have shown up on MRI???
Cancel
1 Answers
Page 1 of 1
Avatar universal
Hi.

Even though the CT myelography is quite sensitive, the MRI is better in terms of what is called as interobserver reliability. Hence you may go with your Neurologist's advice. But please keep in mind, this is an individual opinion.

Regards

DrAbhijeetMD
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Neurology Community Resources
Top Neurology Answerers
620923 tn?1452919248
Blank
selmaS
Allentown, PA
144586 tn?1284669764
Blank
caregiver222
5265383 tn?1465260698
Blank
aspen2
ON
209987 tn?1451939065
Blank
tschock
AB
1780921 tn?1462244109
Blank
flipper336
Queen Creek, AZ
11079760 tn?1449081557
Blank
cjtmn
Minneapolis, MN