Cervical transverse myelitis

Case contributed by Dr Ian Bickle

Presentation

Secondary school student with acute onset tetraparesis. Rapid ascending paralysis with neuromuscular weakness. Reflexes pathologically brisk. Clinically cervical myelitis. MRI on admission was normal 11 days ago.

Patient Data

Age: 12 years
Gender: Male
MRI

The cervical cord is expanded over a long segment between C5-T1 level with symmetrical high signal change involving both sides of the cord.  Associated faint ill defined enhancement of this segment of cord.

No intradural collection.

Vertebra and disc spaces normal.

Case Discussion

A young male with MRI findings in keeping with the clinical history and examination fitting with transverse myelitis.

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