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MRI in acute transverse myelopathy

Holtås, Stig LU ; Basibuyuk, N and Fredriksson, K (1993) In Neuroradiology 35(3). p.221-226
Abstract
The MRI examinations of seven patients with acute transverse myelopathy (ATM) were analysed. The patients were examined 2-5 times during the course of their disease with short and long TR/TE spin-echo sequences in the sagittal projection. A previous history of autoimmune disorder and/or signs of infection at the onset of ATM were present in all cases. Cerebrospinal fluid analysis showed local synthesis of immunoglobulin in the nervous system in three cases and signs of infectious myelitis in one. During the acute phase four patients had local enlargement of the cord and all had increased signal on long TR/TE sequences. The outcome was grave in the majority of patients and there seemed to be a correlation between the degree of cord... (More)
The MRI examinations of seven patients with acute transverse myelopathy (ATM) were analysed. The patients were examined 2-5 times during the course of their disease with short and long TR/TE spin-echo sequences in the sagittal projection. A previous history of autoimmune disorder and/or signs of infection at the onset of ATM were present in all cases. Cerebrospinal fluid analysis showed local synthesis of immunoglobulin in the nervous system in three cases and signs of infectious myelitis in one. During the acute phase four patients had local enlargement of the cord and all had increased signal on long TR/TE sequences. The outcome was grave in the majority of patients and there seemed to be a correlation between the degree of cord enlargement, persistence of increased signal intensity and limited recovery. Atrophy and remaining high signal intensity were noted on late MRI in patients with poor outcome. In one patient with probable anterior spinal artery occlusion, cavitation of the cord was seen. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acute transverse myelopathy, MRI
in
Neuroradiology
volume
35
issue
3
pages
221 - 226
publisher
Springer Verlag
external identifiers
  • pmid:8459927
  • scopus:0027402040
ISSN
1432-1920
DOI
10.1007/BF00588501
language
English
LU publication?
yes
id
f46a0b50-d340-4bec-88fe-437cbdccf6f6 (old id 1107315)
date added to LUP
2008-07-30 15:53:12
date last changed
2017-01-01 05:06:39
@article{f46a0b50-d340-4bec-88fe-437cbdccf6f6,
  abstract     = {The MRI examinations of seven patients with acute transverse myelopathy (ATM) were analysed. The patients were examined 2-5 times during the course of their disease with short and long TR/TE spin-echo sequences in the sagittal projection. A previous history of autoimmune disorder and/or signs of infection at the onset of ATM were present in all cases. Cerebrospinal fluid analysis showed local synthesis of immunoglobulin in the nervous system in three cases and signs of infectious myelitis in one. During the acute phase four patients had local enlargement of the cord and all had increased signal on long TR/TE sequences. The outcome was grave in the majority of patients and there seemed to be a correlation between the degree of cord enlargement, persistence of increased signal intensity and limited recovery. Atrophy and remaining high signal intensity were noted on late MRI in patients with poor outcome. In one patient with probable anterior spinal artery occlusion, cavitation of the cord was seen.},
  author       = {Holtås, Stig and Basibuyuk, N and Fredriksson, K},
  issn         = {1432-1920},
  keyword      = {Acute transverse myelopathy,MRI},
  language     = {eng},
  number       = {3},
  pages        = {221--226},
  publisher    = {Springer Verlag},
  series       = {Neuroradiology},
  title        = {MRI in acute transverse myelopathy},
  url          = {http://dx.doi.org/10.1007/BF00588501},
  volume       = {35},
  year         = {1993},
}