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