Longitudinally extensive spinal cord lesion

Last revised by Mohamed Saber on 06 Jan 2021

Longitudinally extensive spinal cord lesions (LESCL), also known as longitudinally extensive transverse myelitis (LETM), represent extensive involvement of the spinal cord, with abnormal T2 signal traversing at least three vertebral body segments in length.

Differential diagnosis

They are typical of neuromyelitis optica (NMO) but can be seen in a number of other conditions, including 1-4:

ADVERTISEMENT: Supporters see fewer/no ads

Cases and figures

  • Case 1: NMO
    Drag here to reorder.
  • Case 2: neurosarcoidosis
    Drag here to reorder.
  • Case 3: neuromyelitis optica
    Drag here to reorder.
  • Case 4: systemic lupus erythematosus
    Drag here to reorder.
  • Case 5: post infectious transverse myelitis
    Drag here to reorder.
  • Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.