Presentation
Back pain and left brachiaglia. Known case of systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA), on corticosteroid therapy.
Patient Data
Age: 30 years
Gender: Female
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Mild expansion of the spinal cord with central hyperintense signal opposite C4-D1 level.
Also noted similar looking smaller hyperintense patches opposite D5/6, D8, and D11/12 levels, with normal cord diameter and normal subarachnoid space.
Case Discussion
Features are suggestive of autoimmune-mediated myelitis, considering patient's history of systemic lupus erythematosus, lupus myelitis is considered. It is thought that the etiology is likely due to vasculitis rather than demyelination.
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