Introduction:
Spondylotic myelopathy involves chronic compression of the spinal cord
from degenerative changes of the spine presenting as a myriad of
neurological and pain symptoms. Although it is primarily a clinical
diagnosis, the use of advanced imaging, such as Magnetic Resonance
Imaging (MRI), allows us to shuffle through various causes of
myelopathies rapidly. Transverse pancake-like gadolinium enhancement is
a rare but specific finding on MRI which points toward spondylotic
myelopathy.1 Recognition of this sign saves time for
treatment initiation and is crucial in preventing subsequent disability.