Cervical spondylotic myelopathy (CSM) is the most frequent spinal cord disorder. Next to focal degeneration at the compression site, the rostral cervical white and grey matter undergo atrophic changes, the magnitude relating to clinical impairment. In this study, we assess above stenosis regional grey matter changes and demonstrate that next to bilateral dorsal horn atrophy, the normal appearing ventral horns show diffusivity changes which relate to white matter integrity loss.
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