MRI of sequela of transverse myelitis

Shen, Wu‐Chung; Lee, S. K.; Ho, Yo J.; Lee, K. R.; Mak, Suk-Chun; S., C.

doi:10.1007/bf02016264

Cited by 12 publications

(5 citation statements)

References 4 publications

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“…These findings are consistent with ATM of other causes. Persisting high signal intensity on T2-weighted images and spinal cord atrophy were noted on late MRI of patients with poor outcome [13,30] whereas a reduction in high signal intensity paralleled clinical recovery [1,9,12].…”

Section: Discussionmentioning

confidence: 99%

Extensive myelitis associated with Mycoplasma pneumoniae infection: magnetic resonance imaging and clinical long-term follow-up

Goebels

Helmchen

Abele‐Horn

et al. 2001

Journal of Neurology

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Myelitis is a severe neurological complication associated with Mycoplasma pneumoniae infections. Little is known about the extent and the reversibility of this myelitis, and reports on the value of spinal imaging are inconclusive. To obtain more information on the diagnostic and prognostic value of spinal magnetic resonance imaging (MRI) we studied the clinical course and MRI long-term follow-up of two patients with extensive myelitis associated with M. pneumoniae infection. The neuroradiological findings were correlated with the clinical extent of the spinal syndrome, but their reversibility preceded clinical improvement. These preliminary findings indicate that follow-up spinal MRI may give valuable prognostic information in cases of M. pneumoniae associated myelitis and warrant further more systematic studies to ascertain the relationship between spinal MRI findings and prognosis.

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Section: Discussionmentioning

confidence: 99%

Extensive myelitis associated with Mycoplasma pneumoniae infection: magnetic resonance imaging and clinical long-term follow-up

Goebels

Helmchen

Abele‐Horn

et al. 2001

Journal of Neurology

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“…In this study, cases 2 and 3 showed cord atrophy at 2 months post-onset similar to Shen's case. 6 If spinal cord atrophy appears during the disease course, prognosis will be poor, although one reported case showed no lower-limb deficits despite severe spinal cord atrophy after a cervical operation and postoperative radiotherapy. 7 Nevertheless, spinal cord atrophy must be considered if a pediatric patient with a traumatic or inflammatory spinal cord lesion does not show motor recovery after several months.…”

Section: Spinal Cord Atrophy In the Pediatric Patients Ms Bang And Sjmentioning

confidence: 99%

“…Shen et al 6 reported a case of acute transverse myelitis with cord swelling in the acute stage and diffuse cord atrophy during follow-up MRI at 2 months post-onset. In this study, cases 2 and 3 showed cord atrophy at 2 months post-onset similar to Shen's case.…”

Section: Spinal Cord Atrophy In the Pediatric Patients Ms Bang And Sjmentioning

confidence: 99%

Progression of spinal cord atrophy by traumatic or inflammatory myelopathy in the pediatric patients: case series

Bang

Kim

2009

Spinal Cord

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Study design: Case series. Objective: To present spinal cord atrophy in pediatric patients who had spinal cord injury developed after trauma or acute transverse myelitis, and had no motor recovery later. Setting: Department of Rehabilitation Medicine, Tertiary National University Children's Hospital, Seoul, Korea. Methods: Case series. Results: Two pediatric patients with paraplegia due to acute transverse myelitis and one pediatric patient with paraplegia due to traumatic myelopathy were included in this case series. Their initial MRI (magnetic resonance imaging) findings were spinal cord swelling and high signal intensity in T2-weighted image. After several months, they had no motor recovery and showed no change of neurological level, though they underwent steroid and physical therapy. A follow-up MRI revealed spinal cord atrophy. Conclusion: If a pediatric patient with traumatic or inflammatory spinal cord injury does not show motor recovery after several months, spinal cord atrophy must be considered.

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“…Sur les séquences pondérées en T1, un hyposignal peut être vu et peut parfois être rehaussé après injection de gadolinium [8]. À distance peut s'observer une atrophie sévère [9]. La ponction lombaire est habituellement d'une aide précieuse pour le diagnostic de la neurosyphilis.…”

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