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Myelomalacia

In plain language

An MRI term for chronic tissue change within the spinal cord, often after prolonged compression or prior injury.

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3 things to know first

  1. It refers to cord tissue, not a disc. The MRI signal suggests tissue change inside the cord.
  2. It is not every bright cord spot. Other causes of abnormal signal must be considered.
  3. Symptoms and stability matter. A clinician should relate the image to function and prior scans.

What it is

Myelomalacia literally means softening of the spinal cord. In imaging reports it commonly describes chronic cord tissue change associated with previous injury or long-standing compression. MRI may show increased T2 signal, sometimes with a thinner cord. The word alone does not date the injury or prove its cause.

Why it appears on your report

Radiologists use it when the cord appearance suggests established rather than merely temporary change. They may also describe the nearby narrowing or previous surgery and compare older MRI scans.

How serious is it

It warrants clinical review, particularly if there is ongoing pressure or symptoms of myelopathy. The scan cannot predict precisely how much function will improve after treatment.

When to seek care urgently

Get prompt assessment for new or progressive weakness, poor balance, loss of hand dexterity, or bladder or bowel changes.

What usually happens next

  1. Compare symptoms and neurological examination with the MRI level.
  2. Check whether compression is still present.
  3. Discuss specialist review and follow-up as appropriate.

Further reading

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Frequently asked questions

Is every cord signal abnormality myelomalacia?

No. Signal change has several possible causes; myelomalacia is a more specific interpretation.

Can MRI tell if damage is reversible?

Not reliably from this term alone.

Medical disclaimer

This glossary is for educational purposes only and does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personal guidance.

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