Neurology Community
CT Myelography vs MRI
About This Community:

This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

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???
Related Discussions
Avatar_dr_m_tn
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
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Neurology Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
Apr 16 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank
Top Neurology Answerers
620923_tn?1393294254
Blank
selmaS
Allentown, PA
1780921_tn?1384615710
Blank
flipper336
Chandler, AZ
352007_tn?1372861481
Blank
LisaJF
1475492_tn?1332887767
Blank
Sidesteps
Seattle Area, WA
5160872_tn?1385252394
Blank
MommyofNatTyZach
Avatar_f_tn
Blank
Joiedecour
Indianapolis, IN