Question 1464
{"accessible":false,"alternatives":[{"id":7310,"text":"copper deficiency"},{"id":7311,"text":"intrathecal methotrexate administration"},{"id":7312,"text":"multiple sclerosis"},{"id":7313,"text":"vitamin B12 deficiency"},{"id":7314,"text":"vitamin E deficiency"}],"archived":false,"correctAlternativeId":7312,"explanation":"\u003cp\u003eBilateral dorsal column high T2 signal is typical of subacute combined degeneration of the cord (Vitamin B12 deficiency),\u0026nbsp;vitamin E deficiency,\u0026nbsp;copper deficiency and\u0026nbsp;methotrexate-induced myelopathy.\u0026nbsp;\u003c/p\u003e\u003cp\u003eMultiple sclerosis also involves the dorsal columns but invariably does so in short segments often limited to one dorsal column.\u0026nbsp;\u003c/p\u003e","id":1464,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2481","nextQuestionPath":"/articles/subacute-combined-degeneration-of-the-cord-1/questions/1393","relatedArticles":[{"id":1700,"title":"Multiple sclerosis","link":"/articles/multiple-sclerosis?lang=us"},{"id":45012,"title":"Copper deficiency myeloneuropathy","link":"/articles/copper-deficiency-myeloneuropathy?lang=us"},{"id":75485,"title":"Methotrexate-induced myelopathy","link":"/articles/methotrexate-induced-myelopathy?lang=us"}],"alsoUsedIn":[{"id":1180,"kind":"Course","title":"Adult Neuroradiology Review Course - page 1180","link":"https://radiopaedia.org/courses/adult-neuroradiology-review-course/pages/1180"},{"id":1180,"kind":"Course","title":"Adult Neuroradiology Review Course - page 1180","link":"https://radiopaedia.org/courses/adult-brain-mri-review-course-2015-online-video/pages/1180"}],"stem":"\u003cp\u003eOn MRI of the spinal cord, bilateral longitudinally extensive high T2 signal\u0026nbsp;of the dorsal columns is typically seen in all of the following, \u003cstrong\u003eEXCEPT\u003c/strong\u003e...\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1464"}],"attemptsPercentages":[{"alternativeId":"7310","percentage":3},{"alternativeId":"7312","percentage":61},{"alternativeId":"7313","percentage":7},{"alternativeId":"7314","percentage":22},{"alternativeId":"7311","percentage":8}],"promptToLogin":false,"questionManager":false,"articleId":"subacute-combined-degeneration-of-the-cord"}