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A 22 year old woman presented with paresthesias of arms and legs for two weeks. On examination, she had a profound loss of vibration in all four extremities.
(Left) Sagittal T2-weighted MRI; (Right) Axial T2-weighted MRI. Note area of increased signal in the posterior aspect of the spinal cord at the C4-5 level. The cord is not expanded. On the axial image, note how the lesion perfectly matches the pattern of the dorsal columns. Transverse myelitis may occur in multiple sclerosis, lupus, or may occur as an idiopathic autoimmune condition.
Revised
03/28/06.
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School of Medicine.