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Familial Amyloid Polyneuropathy: Hypertrophy of Ligaments Supporting the Spinal Cord

Mika Kitajima, Yukunori Korogi, Masayuki Yamura, Ichiro Ikushima, Yoshiko Hayashida, Yukio Ando, Makoto Uchino and Yasuyuki Yamashita
American Journal of Neuroradiology October 2004, 25 (9) 1599-1602;
Mika Kitajima
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Yukunori Korogi
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Masayuki Yamura
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Ichiro Ikushima
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Yoshiko Hayashida
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Yukio Ando
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Makoto Uchino
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Yasuyuki Yamashita
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    Fig 1.

    Case 1. A 51-year-old woman with transthyretine-related FAP.

    A, Cervical sagittal T1-weighted image (400/12/2 [TR/TE/NEX]) shows slight hyperintensity of the subpial region, which is observed predominantly at the cervical cord level (arrows).

    B, Axial T1-weighted image (500/15/2) at C4 shows slight hyperintensity of the subpial region as well as observed in panel A. Thickening and increase of signal intensity of the dentate ligament (arrow) and the cervical septum (arrowhead) are also observed.

    C, Contrast-enhanced T1-weighted image (400/12/2) shows diffuse leptomeningeal enhancement (arrows).

    D, Axial 3D-CISS reformation image (12.2/5.9/1) at T9 shows thickening of dura matter (arrows). Thickened dentate ligaments (arrowheads) and cervical septum (long arrow) are also observed.

    E, Cervical sagittal 3D-CISS image (12.2/5.9/1) shows longitudinal low signal intensity band parallel to the spinal cord (arrows), which represents thickened dentate ligament.

    F, Coronal 3D-CISS image (12.2/5.9/1) shows thickened dura matter (arrowheads), and tortuous veins dorsal to spinal cord are well observed (arrows).

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    Fig 2.

    Case 2. A 39-year-old man with transthyretine-related FAP.

    A, Contrast-enhanced T1-weighted image (400/12/2) shows diffuse leptomeningeal enhancement predominantly in the cervical and upper thoracic region (arrows).

    B, Sagittal 3D-CISS image (12.2/5.9/1) shows low-signal-intensity tiny strands dorsal to the spinal cord (arrows), which represent thickened arachnoid tissue. A thickened dentate ligament was also seen on cervical parasagittal 3D-CISS image (not shown).

    C, Axial 3D-CISS reformation image (12.2/5.9/1) at C7 shows thickening of dentate ligaments (arrows) and cervical septum (arrowhead). Long arrows indicate ventral and dorsal nerve roots.

    D, Axial 3D-CISS reformation image (12.2/5.9/1) at C3 shows thickening of dorsal nerve roots (arrows).

    E, Coronal 3D-CISS reformation image (12.2/5.9/1) of dorsal region of lower spinal cord shows low signal intensity tiny strands (arrows), which represent thickened arachnoid tissue.

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American Journal of Neuroradiology: 25 (9)
American Journal of Neuroradiology
Vol. 25, Issue 9
1 Oct 2004
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Mika Kitajima, Yukunori Korogi, Masayuki Yamura, Ichiro Ikushima, Yoshiko Hayashida, Yukio Ando, Makoto Uchino, Yasuyuki Yamashita
Familial Amyloid Polyneuropathy: Hypertrophy of Ligaments Supporting the Spinal Cord
American Journal of Neuroradiology Oct 2004, 25 (9) 1599-1602;

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Familial Amyloid Polyneuropathy: Hypertrophy of Ligaments Supporting the Spinal Cord
Mika Kitajima, Yukunori Korogi, Masayuki Yamura, Ichiro Ikushima, Yoshiko Hayashida, Yukio Ando, Makoto Uchino, Yasuyuki Yamashita
American Journal of Neuroradiology Oct 2004, 25 (9) 1599-1602;
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