Acute Myelopathy With Normal Imaging

A 17-year-old girl presented with rapidly progressive quadriparesis and ventilatory failure. The clinical findings indicated a spinal level, but the diagnosis of myelopathy was not supported by her initial spinal imaging and cerebrospinal fluid studies. She had completed treatment for Guillain-Barré...

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Bibliographic Details
Published in:Journal of child neurology 2013-05, Vol.28 (5), p.648-650
Main Author: Holland, Neil R.
Format: Article
Language:English
Subjects:
Adolescent
Cartilage Diseases
Cervical Vertebrae - pathology
Contrast Media - administration & dosage
Diagnosis, Differential
Embolism
Female
Guillain-Barre Syndrome - diagnosis
Humans
Image Enhancement
Infarction - diagnosis
Magnetic Resonance Imaging
Myelitis, Transverse - diagnosis
Neurologic Examination
Quadriplegia - diagnosis
Respiratory Insufficiency - diagnosis
Spinal Cord - blood supply
Spinal Cord - pathology
Spinal Cord Diseases - diagnosis
Thoracic Vertebrae - pathology
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Description
Summary:A 17-year-old girl presented with rapidly progressive quadriparesis and ventilatory failure. The clinical findings indicated a spinal level, but the diagnosis of myelopathy was not supported by her initial spinal imaging and cerebrospinal fluid studies. She had completed treatment for Guillain-Barré syndrome before a follow-up spinal imaging study showed interval expansion and enhancement of the cervical cord.
ISSN:0883-0738
1708-8283
DOI:10.1177/0883073812448438