Fact-sheet: Radiation induced myelitis
Updated on 08/29/2017 at 3:42 PM
Note : 0/10
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Definition
Severe spinal cord complication of loco-regional radiotherapy
Clinical features
Nonspecific progressive spinal cord syndrome occurring several months to several years after radiotherapy.
Slowly progressive course before stabilization
MRI
At the acute stage:
- Increased spinal cord volume
- Intramedullary T2 hyperintensity
At the late stage:
- Spinal cord atrophy
- Possible syringomyelic cavity
Management
No curative treatment
Symptomatic treatment
Differential diagnosis
Very rarely, given the clinical context
At the acute stage:
- Inflammatory involvement
- Vascular involvement
- Intramedullary tumoral involvement
At the chronic stage:
- None in this context
