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Spinal Cord Infarction Mimicking Acute Transverse Myelitis

Spinal cord infarction (SCI) is a rare type of stroke. The initial magnetic resonance imaging (MRI) is usually normal and can mimic the presentation of the acute transverse myelitis (ATM), acute inflammatory demyelinating polyneuropathy, and compressive myelopathies from neoplasm, epidural or subdur...

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Autores principales: Pawar, Nilesh H, Loke, Ealing, Aw, Derrick C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5800763/
https://www.ncbi.nlm.nih.gov/pubmed/29441246
http://dx.doi.org/10.7759/cureus.1911
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author Pawar, Nilesh H
Loke, Ealing
Aw, Derrick C
author_facet Pawar, Nilesh H
Loke, Ealing
Aw, Derrick C
author_sort Pawar, Nilesh H
collection PubMed
description Spinal cord infarction (SCI) is a rare type of stroke. The initial magnetic resonance imaging (MRI) is usually normal and can mimic the presentation of the acute transverse myelitis (ATM), acute inflammatory demyelinating polyneuropathy, and compressive myelopathies from neoplasm, epidural or subdural hematoma, or abscess. The aim of this report is to describe and discuss the case of a patient with SCI presenting as a diagnostic confusion with acute transverse myelitis. A 64-year-old male with a medical history of hypertension presented with an acute onset of urinary retention with lower limb weakness. Based on the initial MRI and evaluation, a diagnosis of acute transverse myelitis was made. Despite thorough evaluation, the etiology of transverse myelitis was undetermined. Hence, the MRI of the thoracic spine was repeated which showed patchier enhancements of the vertebral body with features suggestive of the spinal cord and vertebral body infarction. Thus, a repeat MRI is required to make an accurate diagnosis. The vertebral body is always involved and can be of diagnostic significance as it reflects the pathology of underlying blood supply.
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spelling pubmed-58007632018-02-13 Spinal Cord Infarction Mimicking Acute Transverse Myelitis Pawar, Nilesh H Loke, Ealing Aw, Derrick C Cureus Neurology Spinal cord infarction (SCI) is a rare type of stroke. The initial magnetic resonance imaging (MRI) is usually normal and can mimic the presentation of the acute transverse myelitis (ATM), acute inflammatory demyelinating polyneuropathy, and compressive myelopathies from neoplasm, epidural or subdural hematoma, or abscess. The aim of this report is to describe and discuss the case of a patient with SCI presenting as a diagnostic confusion with acute transverse myelitis. A 64-year-old male with a medical history of hypertension presented with an acute onset of urinary retention with lower limb weakness. Based on the initial MRI and evaluation, a diagnosis of acute transverse myelitis was made. Despite thorough evaluation, the etiology of transverse myelitis was undetermined. Hence, the MRI of the thoracic spine was repeated which showed patchier enhancements of the vertebral body with features suggestive of the spinal cord and vertebral body infarction. Thus, a repeat MRI is required to make an accurate diagnosis. The vertebral body is always involved and can be of diagnostic significance as it reflects the pathology of underlying blood supply. Cureus 2017-12-06 /pmc/articles/PMC5800763/ /pubmed/29441246 http://dx.doi.org/10.7759/cureus.1911 Text en Copyright © 2017, Pawar et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Pawar, Nilesh H
Loke, Ealing
Aw, Derrick C
Spinal Cord Infarction Mimicking Acute Transverse Myelitis
title Spinal Cord Infarction Mimicking Acute Transverse Myelitis
title_full Spinal Cord Infarction Mimicking Acute Transverse Myelitis
title_fullStr Spinal Cord Infarction Mimicking Acute Transverse Myelitis
title_full_unstemmed Spinal Cord Infarction Mimicking Acute Transverse Myelitis
title_short Spinal Cord Infarction Mimicking Acute Transverse Myelitis
title_sort spinal cord infarction mimicking acute transverse myelitis
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5800763/
https://www.ncbi.nlm.nih.gov/pubmed/29441246
http://dx.doi.org/10.7759/cureus.1911
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