Fact-sheet: Acute transverse myelitis


Updated on 09/17/2021 at 12:16 PM

Note : 0/10

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Definition

Involvement of an almost complete but suspended segment of the spinal cord,
most often at the thoracolumbar level,
idiopathic origin

Clinical features

Depends on the level involved:
-Flaccid paraplegia
-absent deep tendon reflexes
-sphincter disturbances
DIAGNOSIS OF EXCLUSION

MRI

The spinal cord may be
-normal
-enlarged over a height of at least 3 to 4 vertebral levels
-T2 hyperintense area ≥ 2/3 of the cord cross-sectional area on axial imaging
-enhancement after injection, predominantly perimedullary
-cord involvement may be diffuse