Author: Salloum, Shafee; Goenka, Ajay; Ey, Elizabeth
Title: Mycoplasma pneumoniaeassociated transverse myelitis presenting as asymmetric flaccid paralysis Document date: 2019_9_12
ID: s7jxpvv8_1
Snippet: and brachioradialis, but normal on the left side. There was no sensory disturbance or numbness. There were no gait abnormalities and no bladder or bowel incontinence. The rest of his physical examination was normal. Cerebral spinal fluid (CSF) analysis showed mild pleocytosis of 18/mm 3 with 76% lymphocytes and 22% monocytes. CSF protein 52 mg/dL, and glucose 61 mg/dL. Contrast enhanced magnetic resonance imaging (MRI) of brain and cervical spine.....
Document: and brachioradialis, but normal on the left side. There was no sensory disturbance or numbness. There were no gait abnormalities and no bladder or bowel incontinence. The rest of his physical examination was normal. Cerebral spinal fluid (CSF) analysis showed mild pleocytosis of 18/mm 3 with 76% lymphocytes and 22% monocytes. CSF protein 52 mg/dL, and glucose 61 mg/dL. Contrast enhanced magnetic resonance imaging (MRI) of brain and cervical spine revealed cord swelling with T2 prolongation and without contrast enhancement extending from the brain stem at the level of middle cerebellar peduncles through the medulla and the cervical spinal cord to the C7 level. No other area of abnormal signal was present (Figures 1 and 2) . These findings are most consistent with longitudinally extensive transverse myelitis (LETM) due to involvement of ≥3 vertebral segments.
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