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A 71-year-old man with chronic back pain had acute pain exacerbation, followed in the next month by progressive weakness of the right thigh. Neurological examination revealed myelopathy with a sensory level at T11. Spinal MRI (fig 1) revealed a well demarcated oval shaped lesion contiguous with the right T11–T12 facet joint causing dislocation and compression of the spinal cord that showed a subtle hyperintensity on T2 weighted images (TR/TE 3500/120). The lesion …
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