LAUSR

A 55-year-old man without comorbidities presented with progressive paresthesia and weakness affecting the limbs. Cervical magnetic resonance imaging (MRI) demonstrated prominent spondylosis and myelopathy with pancake-like gadolinium enhancement (Figures 1 and 2). The pancake-like sign is related to a focal disruption of the blood-brain barrier and defined by a circumferential enhancement sparing spinal cord gray matter on axial images, located beneath the site of maximum stenosis, with a transverse band appearance on sagittal images, extending less than one vertebral segment. The recognition of these radiological findings contribute to the avoidance of unnecessary interventions1,2,3.