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Tingling, Numbness in Lower Limbs: A Case Study

Tingling, Numbness in Lower Limbs: A Case Study


  • The patient presents with tingling and numbness in both lower limbs for four months. Scroll through the slides

  • Sagittal T1WI showed diffuse abnormal isointense lesions occupying more than two-thirds of the spinal cord at mid-dorsal cord region at D4-5 and D7-8 levels associated with minimal dilatation of central canal


  • Sagittal and axial T2WI revealed hyperintensity of the lesions.

  • Sagittal and axial T2WI revealed hyperintensity of the lesions.

  • Sagittal DWI showed slight hyperintensity of the lesions denoting unrestricted diffusion.

  • ADC map showed low signal intensity of the lesions denoting unrestricted diffusion.

  • ADC map showed low signal intensity of the lesions denoting unrestricted diffusion (Figure 5). ADC value was measured at (b=1000) 1.1×10–3 mm2/s.


  • What do these images suggest is the cause of bilateral lower limb symptoms of 4 months’ duration?

  • Diagnosis: Transverse myelitis

  • References
    1.Chamberlin SL, Narins B. The Gale Encyclopedia of Neurological Disorders. Detroit: Thomson Gale (2005): pp. 1859–1870.
    2.Transverse Myelitis Consortium Working Group (TMCWG). Proposed diagnostic criteria and nosology of acute transverse myelitis. Neurology. 2002;59:499–505.

Comments

Multiple sclerosis?

Sharon @

What are the exam findings?

Maya @

Tell me more

Merritt @

Tell me more

Merritt @

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