Current concepts in the diagnosis of transverse myelopathies

Clinical Neurology and Neurosurgery
Vesna V BrinarDavorka Vranjes

Abstract

The clinical symptoms and MRI characteristics of transverse myelopathy (TM) due to non-compressive causes are reviewed, with special emphasis on the differential diagnosis between inflammatory demyelinating lesions, and metabolic and vascular myelopathies. Inflammatory transverse myelopathies are the commonest and most difficult ones to identify. The differentiation between clinically isolated syndromes, multiple sclerosis, neuromyelitis optica, acute disseminated encephalomyelitis and metabolic causes is based on both clinical symptoms and paraclinical signs including magnetic resonance imaging, cerebrospinal fluid analysis, and immunological and biochemical parameters. The most intriguing form of TM is that where there is clinical evidence of complete spinal cord transection, with normal findings in magnetic resonance imaging in the acute phase, but subsequent cord atrophy.

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Citations

Mar 20, 2012·Acta neurologica Belgica·Mario HabekVesna V Brinar
Nov 16, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Colin WhiteAmeen Patel
Nov 16, 2011·The Spine Journal : Official Journal of the North American Spine Society·Mario HabekVesna V Brinar
Apr 27, 2010·Clinical Neurology and Neurosurgery·Mohammad Ali Sahraian, Arman Eshaghi
Feb 19, 2011·Clinical & Developmental Immunology·Yanqing FengFan Huang
Mar 25, 2015·Current Problems in Diagnostic Radiology·Dhiraj BaruahSaurabh Guleria
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