Longitudinally extensive myelopathy in children

Danielle Eckart Sorte, Andrea Poretti, Scott Newsome, Eugen Boltshauser, Thierry A G M Huisman, Izlem Izbudak

Research output: Contribution to journalArticle

Abstract

When children present with acute myelopathy manifested by sensory, motor, or bowel and bladder symptoms, MRI of the neuraxis with contrast agent is the most important imaging study to obtain. Although occasionally normal, MRI often demonstrates signal abnormality within the spinal cord. Classically, longitudinally extensive transverse myelitis (≥3 vertebral bodies in length) has been described with neuromyelitis optica (NMO), but alternative diagnoses should be considered. This pictorial essay reviews the differential diagnoses that may present with longitudinally extensive spinal cord signal abnormalities. Multiple inflammatory, infectious, vascular, metabolic and neurodegenerative etiologies can present with a myelopathy. Thus, radiologists can assist in the diagnosis by familiarizing themselves with the spectrum of diseases in childhood that result in longitudinally extensive signal abnormalities in the absence of trauma.

Original languageEnglish (US)
Pages (from-to)244-257
Number of pages14
JournalPediatric Radiology
Volume45
Issue number2
DOIs
Publication statusPublished - 2015

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Keywords

  • Acute disseminated encephalomyelitis
  • Child
  • Longitudinally extensive transverse myelitis
  • Magnetic resonance imaging
  • Myelopathy
  • Neuromyelitis optica
  • Spinal cord
  • Transverse myelitis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Pediatrics, Perinatology, and Child Health

Cite this

Sorte, D. E., Poretti, A., Newsome, S., Boltshauser, E., Huisman, T. A. G. M., & Izbudak, I. (2015). Longitudinally extensive myelopathy in children. Pediatric Radiology, 45(2), 244-257. https://doi.org/10.1007/s00247-014-3225-4