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. 2019 Sep 9;30(1):104–109. doi: 10.1111/jon.12663

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© 2019 The Authors. Journal of Neuroimaging published by Wiley Periodicals, Inc. on behalf of American Society of Neuroimaging

This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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A 53‐year‐old patient after a ski accident with hyperextension injury of the cervical spine. The patient had initial tetraplegia emphasizing both upper extremities with partial remission of the lower extremities 2 hours after the accident. Sagittal short tau inversion recovery (STIR) (A) and T2‐weighted (B) images show an edema of spinal cord at C3/4 (white asterisk). The intervertebral disc at C3/4 and at C5/6 was reported with a lesion on STIR images and the anterior longitudinal ligament (ALL) was further reported as torn at C5/6 (white arrows in A). Intraoperatively neither the lesion of the intervertebral disc nor the ALL tear could be detected. The tetraplegia was due to a contusion of the spinal cord at C3/4 with pre‐existing vertebrostenosis.