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Subacute Progressive Myelopathy: Transverse Myelitis or Subacute Combined Degeneration? A Case Report
Author(s) -
Goldish Daniel,
Massagli Teresa L.
Publication year - 2018
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2017.07.076
Subject(s) - medicine , transverse myelitis , myelopathy , myelitis , magnetic resonance imaging , acute transverse myelitis , subacute combined degeneration , etiology , degeneration (medical) , multiple sclerosis , pathology , radiology , spinal cord , vitamin b12 , psychiatry
Evolving subacute myelopathies have many possible etiologies. This is a report of a patient who presented with progressive paresthesias, proprioceptive loss, and gait disturbance with acute myelitis seen on magnetic resonance imaging initially concerning for transverse myelitis. However, she also had vitamin B12 deficiency, and her clinical course ultimately suggested a diagnosis more compatible with subacute combined degeneration. The clinical features, laboratory, and imaging findings and prognosis of the 2 disorders are compared. Level of Evidence V