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Department of Neurology (Dr. Gates), St. Vincent's Hospital, Melbourne, Victoria, Australia; and the Departments of Diagnostic Radiology (Dr. Fox) and Clinical Neurological Sciences (Dr. Barnett), University Hospital, London, Ontario, Canada.
In a retrospective study of 32 patients with "proven" syringomyelia and 15 patients with an alternate proven diagnosis, a change in the caliber of the spinal cord with different positions ("collapsing cord sign or cord collapse") had a sensitivity of 38% and a specificity of 87%. Central cord enhancement ("bull's-eye") on delayed CT had a sensitivity and specificity of 91% and 87%, respectively. The positive predictive value of cord collapse was 87%, while the positive predictive value of central cord enhancement was 94%.
Address correspondence and reprint requests to Dr. Barnett, Room 13, University Hospital, PO Box 5339, London, Ontario, Canada N6A 5A5.
Accepted for publication January 23, 1986.
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