Radiation myelopathy (RM) is a rare complication of spinal cord irradiation. Diagnosis is based on the history of radiotherapy, laboratory tests, and magnetic resonance imaging of the spinal cord. The MRI findings may nevertheless be quite unspecific. In this paper, we describe the findings of diffusion tensor imaging in a case of the delayed form of RM. We observed areas of restricted diffusion within the spinal cord which probably corresponded to the ischemic changes. This would concur with the currently accepted pathogenetic theory concerning RM.

Masaryk Memorial Cancer Institute Department of Radiation Oncology

University Hospital Brno and Masaryk University Department of Internal Medicine Hematology and Oncology

University Hospital Brno and Masaryk University Department of Radiology

University Hospital Brno and Masaryk University Department of Radiology Central European Institute of Technology Multimodal and Functional Imaging Laboratory

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