Utility of extension views in spondylotic myelitis myelopathy mimicking transverse myelitis

被引：5

作者：

Conway, Brittani L. ^{[1
]}

Clarke, Michelle J. ^{[2
]}

Kaufmann, Timothy J. ^{[3
]}

Flanagan, Eoin P. ^{[1
]}

机构：

[1] Mayo Clin, Dept Neurol, 200 First St SW, Rochester, MN 55905 USA

[2] Mayo Clin, Dept Neurosurg, Rochester, MN USA

[3] Mayo Clin, Dept Neuroradiol, Rochester, MN USA

来源：

MULTIPLE SCLEROSIS AND RELATED DISORDERS | 2017年 / 11卷

关键词：

Myelitis; Gadolinium enhancement; Flexion-extension; CENTRAL-NERVOUS-SYSTEM; MULTIPLE-SCLEROSIS; LESIONS;

D O I：

10.1016/j.msard.2016.12.004

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Cervical spondylotic myelopathy is a common cause of myelopathy and may mimic transverse myelitis. We report a 55 year-old lady with subacute myelopathy initially treated with glatiramer acetate for suspected clinically isolated syndrome. MM head and spine revealed a single short cervical cord T2-hyperintense lesion with enhancement just below a region of moderate stenosis. Cerebrospinal fluid revealed elevated oligoclonal bands. Repeat MRI 7 months later showed persistent enhancement. Dynamic MM revealed cord compression during extension. Surgical decompression resulted in marked clinical and radiologic improvement. This case highlights the utility of extension MRI in cervical myelopathy of uncertain etiology.

引用

页码：62 / 64

页数：3

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