Utility of extension views in spondylotic myelopathy mimicking transverse myelitis

Brittani L. Conway; Michelle J. Clarke; Timothy J. Kaufmann; Eoin P. Flanagan

doi:10.1016/j.msard.2016.12.004

Utility of extension views in spondylotic myelopathy mimicking transverse myelitis

Brittani L. Conway, Michelle J. Clarke, Timothy J. Kaufmann, Eoin P. Flanagan

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Cervical spondylotic myelopathy is a common cause of myelopathy and may mimic transverse myelitis. We report a 55 year-old lady with subacute myelopathy initially treated with glatiramer acetate for suspected clinically isolated syndrome. MRI head and spine revealed a single short cervical cord T2-hyperintense lesion with enhancement just below a region of moderate stenosis. Cerebrospinal fluid revealed elevated oligoclonal bands. Repeat MRI 7 months later showed persistent enhancement. Dynamic MRI revealed cord compression during extension. Surgical decompression resulted in marked clinical and radiologic improvement. This case highlights the utility of extension MRI in cervical myelopathy of uncertain etiology.

Original language	English (US)
Pages (from-to)	62-64
Number of pages	3
Journal	Multiple Sclerosis and Related Disorders
Volume	11
DOIs	https://doi.org/10.1016/j.msard.2016.12.004
State	Published - Jan 1 2017

Keywords

Flexion-extension
Gadolinium enhancement
Myelitis

ASJC Scopus subject areas

Neurology
Clinical Neurology

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10.1016/j.msard.2016.12.004

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title = "Utility of extension views in spondylotic myelopathy mimicking transverse myelitis",

abstract = "Cervical spondylotic myelopathy is a common cause of myelopathy and may mimic transverse myelitis. We report a 55 year-old lady with subacute myelopathy initially treated with glatiramer acetate for suspected clinically isolated syndrome. MRI head and spine revealed a single short cervical cord T2-hyperintense lesion with enhancement just below a region of moderate stenosis. Cerebrospinal fluid revealed elevated oligoclonal bands. Repeat MRI 7 months later showed persistent enhancement. Dynamic MRI revealed cord compression during extension. Surgical decompression resulted in marked clinical and radiologic improvement. This case highlights the utility of extension MRI in cervical myelopathy of uncertain etiology.",

keywords = "Flexion-extension, Gadolinium enhancement, Myelitis",

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AU - Conway, Brittani L.

AU - Clarke, Michelle J.

AU - Kaufmann, Timothy J.

AU - Flanagan, Eoin P.

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N2 - Cervical spondylotic myelopathy is a common cause of myelopathy and may mimic transverse myelitis. We report a 55 year-old lady with subacute myelopathy initially treated with glatiramer acetate for suspected clinically isolated syndrome. MRI head and spine revealed a single short cervical cord T2-hyperintense lesion with enhancement just below a region of moderate stenosis. Cerebrospinal fluid revealed elevated oligoclonal bands. Repeat MRI 7 months later showed persistent enhancement. Dynamic MRI revealed cord compression during extension. Surgical decompression resulted in marked clinical and radiologic improvement. This case highlights the utility of extension MRI in cervical myelopathy of uncertain etiology.

AB - Cervical spondylotic myelopathy is a common cause of myelopathy and may mimic transverse myelitis. We report a 55 year-old lady with subacute myelopathy initially treated with glatiramer acetate for suspected clinically isolated syndrome. MRI head and spine revealed a single short cervical cord T2-hyperintense lesion with enhancement just below a region of moderate stenosis. Cerebrospinal fluid revealed elevated oligoclonal bands. Repeat MRI 7 months later showed persistent enhancement. Dynamic MRI revealed cord compression during extension. Surgical decompression resulted in marked clinical and radiologic improvement. This case highlights the utility of extension MRI in cervical myelopathy of uncertain etiology.

KW - Flexion-extension

KW - Gadolinium enhancement

KW - Myelitis

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Utility of extension views in spondylotic myelopathy mimicking transverse myelitis

Abstract

Keywords

ASJC Scopus subject areas

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