Demographics:
38 years old, Male
Indication:
Gradual onset bilateral leg weakness over several month...
Gradual onset bilateral leg weakness over several months
Findings
- Thickening and enhancement involving nearly all of the nerve roots of the cauda equina, most pronounced inferior to the level of L3-L4
- Normal position, signal, and contour of the conus
- Mild multilevel degenerative changes, most advanced at L5-S1 where there is disc dessication and height loss with a broad-based disc bulge. No significant spinal canal or neural foraminal stenosis
Diagnosis
Chronic inflammatory demyelinating polyneuropathy (CIDP)
Sample Report
Thickening and enhancement involving nearly all of the nerve roots of the cauda equina, which is most consistent with chronic inflammatory demyelinating polyneuropathy (CIDP) given the reported gradual onset. Recommend correlation with CSF analysis.
Discussion