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NEUROLOGY 1989;39:734
© 1989 American Academy of Neurology

Gadolinium-enhanced MRI

A superior technique for the diagnosis of intraspinal metastases

Ruth K. Fredericks, MD, Allen Elster, MD and Francis O. Walker, MD

Department of Neurology Wake Forest University Medical Center, Winston-Salem. NC. (Drs. Fredericks and Walker)
Department of Radiology, Wake Forest University Medical Center, Winston-Salem. NC. (Dr. Elster)

Intraspinal medullary metastases are difficult to demonstrate radiographically. We describe the value of gadolinium-DTPA-enhanced magnetic resonance imaging in the diagnosis of intraspinal medullary metastases. This safe, sensitive procedure should be a requisite study in myelogram-negative patients with symptomatology indicative of a cord lesion.

Address correspondence and reprint requests to Dr. Walker, Department of Neurology, Wake Forest University Medical Center, 300 South Hawthorne Road, Winston-Salem. NC 27103.

Received September 28,1988. Accepted for publication in final form November 28.1988.




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