Acute transverse myelopathy: spinal and cranial MR study with clinical follow-up.

Acute transverse myelopathy: spinal and cranial MR study with clinical follow-up. Research Abstract Details 

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Acute transverse myelopathy: spinal and cranial MR study with clinical follow-up. Abstract Text:

A Campi,M Filippi,G Comi,V Martinelli,C Baratti,M Rovaris,G Scotti,

PURPOSE: To evaluate the contribution of MR in determining the cause of acute transverse myelopathy, to determine the frequency and types of the intracranial lesions detectable on MR at the onset of the disease, and to monitor clinical and MR evolution of the disease. METHODS: Spinal and cranial MR images were obtained for 30 patients with acute transverse myelopathy. Gadopentetate dimeglumine was administered in 10 patients. Mean follow-up time was 18 months. RESULTS: Spinal cord MR findings were abnormal in 14 of 30 patients. The abnormal MR can be divided into group A, in which one segment was involved (8 patients), and group B, in which more than one segment was involved (6 patients). In both groups there were 2 patients with enhancing lesions. Enhancement was less homogeneous in the group B patients. Enhancement did not change with increased length of lesion. At follow-up, the diagnostic categories of the patients were multiple sclerosis (8 patients), encephalomyelitis (1 patient), viral myelitis (3 patients), and myelopathy of unknown cause (18 patients). After the episode of acute transverse myelopathy, in 4 of 8 patients in group A and in 4 of 5 patients with normal spinal MR but abnormal brain MR findings clinical signs of multiple sclerosis developed. In no patients in group B did multiple sclerosis develop. The final diagnoses for the 4 patients with gadolinium-enhancing spinal lesions were myelopathy of unknown cause (2 patients), multiple sclerosis (1 patient), and viral myelitis (1 patient). CONCLUSION: MR contributed to establishing the diagnosis in 40% of our cases.

Acute transverse myelopathy: spinal and cranial MR study with clinical follow-up. Publishing Authors By Initials

A Campi,M Filippi,G Comi,V Martinelli,C Baratti,M Rovaris,G Scotti,

For similar nervous system diseases: central nervous system diseases: spinal cord diseases research abstracts see: nervous system diseases: central nervous system diseases: spinal cord diseases research

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Acute transverse myelopathy: spinal and cranial MR study with clinical follow-up. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: AJNR. American journal of neuroradiology

VOLUME: 16

Page Numbers: 115-23

Journal Abbreviation:

ISSN: 0195-6108

DAY: 14

MONTH: Jan

YEAR: 1995

Acute transverse myelopathy: spinal and cranial MR study with clinical follow-up. Information

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LANGUAGE: eng

NlmUniqueID: 8003708

Acute transverse myelopathy: spinal and cranial MR study with clinical follow-up. Keywords Mesh Terms:

KEYWORDS: Spinal Cord Diseases

MESH TERMS: diagnosis

Chemical & Substance for Abstract: Acute transverse myelopathy: spinal and cranial MR study with clinical follow-up. Information

Substance Name: Gadolinium DTPA

Registry Number: 80529-93-7

Grant and Affiliation Information for Acute transverse myelopathy: spinal and cranial MR study with clinical follow-up.

AFFILIATION: Neuroradiological Department, Scientific Institute HS Raffaele, University of Milan, Italy.

Country: UNITED STATES

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MEDLINETA: AJNR Am J Neuroradiol

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