T1 axial post gad T1 sagittal post gad T2 sagittal

Diagnosis: Transverse myelitis (presumed)

Acute transverse myelitis may be seen as a complication of a viral syndrome, vaccination, malignancy or autoimmune disease. Patients present with an acute to subacute myelopathy which may simulate an epidural mass. Multiple levels of the cord may be affected with foci of increased signal seen on T2. Enhancement is variable. These findings are classic for MS also. However, the lack of lesions elsewhere, history and negative OCBs weigh against it. The history notwithstanding, astrocytoma or traumatic contusion are good thoughts. The etiology for this case remained indeterminate. Related Cases

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