Category: Spine

Transverse myelitis

Transvere myelitis = TM Differential diagnosis Compressive myelopathy: needs to be excluded by MRI ADEM: acute disseminated encephalomyelitis Acute demyelination involving brain and spinal cord MS: multiple sclerosis, separated by time and space NMO: neuromyelitis optica usually involves 3 or more vertebral segments Optic neuritis AQP4 Ab positive Poliomyelitis,...

Cervical myelopathy, radiculopathy

Cervical spondylosis = degenerative changes osteophyte, foraminal stenosis: may cause radiculopathy changes at margin of vertebral bodies and post longitudinal ligament : may cause cervical stenosis and myelopathy Herniated disc lateral herniation: may cause radiculopathy large midline disc: may cause myelopathy Nondegenerative causes: infection, nerve root infarct, infiltrate by...

Central cord syndrome

= involved medial aspect of the corticospinal tract on the anterior horn gray matter = weakness is more prominent in arms than legs. = usually no bladder symptoms, but urinary retention may occur. = Loss of pain and temperature sensation in the distribution of one or several adjacent dermatomes...