Transverse myelitis

Elliot Frohman, Dean M. Wingerchuk

Research output: Contribution to journalArticle

87 Citations (Scopus)

Abstract

An otherwise healthy 28-year-old woman presents to the emergency department with progressive weakness that began 3 days earlier. She reports difficulty walking, numbness in the body below her breasts, and urinary urgency, and she notes that neck flexion triggers an electrical sensation that radiates to the coccyx. Physical examination reveals moderate paraparesis with hyperreflexia, a left extensor plantar response, impairment of vibratory and proprioceptive sensation, and a sensory level at T6. Magnetic resonance imaging (MRI) reveals a lower cervical cord lesion that enhances after gadolinium administration, a finding that is consistent with transverse myelitis. How should she be further evaluated and treated?

Original languageEnglish (US)
Pages (from-to)564-572
Number of pages9
JournalNew England Journal of Medicine
Volume363
Issue number6
DOIs
StatePublished - Aug 5 2010

Fingerprint

Transverse Myelitis
Coccyx
Babinski's Reflex
Mobility Limitation
Paraparesis
Abnormal Reflexes
Hypesthesia
Gadolinium
Physical Examination
Hospital Emergency Service
Breast
Neck
Magnetic Resonance Imaging
Cervical Cord

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Transverse myelitis. / Frohman, Elliot; Wingerchuk, Dean M.

In: New England Journal of Medicine, Vol. 363, No. 6, 05.08.2010, p. 564-572.

Research output: Contribution to journalArticle

Frohman, Elliot ; Wingerchuk, Dean M. / Transverse myelitis. In: New England Journal of Medicine. 2010 ; Vol. 363, No. 6. pp. 564-572.
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