The Correlation Between the Clinical Presentation and the Radiological Appearance in Patients with Myelitis at Alshaab Teaching Hospital-Sudan
American Journal of Internal Medicine
Volume 5, Issue 1, January 2017, Pages: 7-11
Received: Nov. 30, 2016;
Accepted: Dec. 28, 2016;
Published: Feb. 1, 2017
Views 2054 Downloads 65
Etedal Ahmed Ibrahim, Department of Internal Medicine, Medical College, Elneelain University, Khartoum, Sudan
Hiba Hassan Ibrahim, Department of Internal Medicine, Medical College, Almughtaribeen University, Khartoum, Sudan
Mohammed Adam Elnour, Department of Internal Medicine, Medical College, University of Tabuk, Tabuk, Kingdom of Saudi Arabia
Hyder Osman Mirghani, Department of Internal Medicine, Medical College, University of Tabuk, Tabuk, Kingdom of Saudi Arabia
Mohamed Nageeb Abdallah, Department of Internal Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
Follow on us
Acute transverse myelitis is the leading cause of non-compressive myelopathy, linking the clinical presentation with Magnetic Resonance Imaging (MRI) may aid in proper stratification of patients improving management, we aimed to study the correlation between the clinical presentation of acute transverse myelitis with MRI findings. This cohort, hospital-based study conducted at Alshaab Teaching Hospital, Sudan among patients with acute transverse myelitis, Participants signed a written informed consent then the clinical presentation was recorded and followed including symmetry and extent of the lesion, site of lesion, sensory involvement. Correlation between various clinical presentations and MRI findings was done. The ethical committee of Alshaab Teaching Hospital approved the research, and the Statistical Package for Social Sciences was used for data analysis. Out of 100 patients infections was observed in 25%, and autoimmunity in 8%, involvement of more than three segments of the spinal cord was commoner among patients with symmetrical and complete presentation, no significant difference was evident between patients with symmetrical and complete presentation, compared to partial asymmetrical presentation regarding the site of spinal cord involvement on MRI. Complete and symmetrical presentation are commonly associated with more than three segments involvement of the spinal cord, no significant difference was found between complete symmetrical presentation and partial asymmetrical presentation regarding the site of involvement on MRI.
Transverse Myelitis, Radiological Finding, Sudan
To cite this article
Etedal Ahmed Ibrahim,
Hiba Hassan Ibrahim,
Mohammed Adam Elnour,
Hyder Osman Mirghani,
Mohamed Nageeb Abdallah,
The Correlation Between the Clinical Presentation and the Radiological Appearance in Patients with Myelitis at Alshaab Teaching Hospital-Sudan, American Journal of Internal Medicine.
Vol. 5, No. 1,
2017, pp. 7-11.
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Chaurasia RN, Verma N, Joshi D, Misra S. Etiological spectrum of non-traumatic myelopathies: Experience from a tertiary care centre. J Assoc Physics India 2006; 54: 445-8.
De seze J, Lanctin C, Lebrun C et al. Idiopathic acute transverse myelitis: application of the recent diagnostic criteria. Neurology 2005; 65: 1950-3.
Alper G Petropoulou KA Fitz CR Kim Y. IDIOPATHIC ACUTE TRANSVERSE MYELITIS IN CHILDREN: An analysis and discussion of MRI findings. Mult Scler. 2011 Jan; 17 (1): 74–80.
Transverse Myelitis Consortium Working group Proposed diagnostic criteria and nosology of acute transverse myelitis. Neurology. 2002; 59: 499–505.
West, TW. "Transverse myelitis—a review of the presentation, diagnosis, and initial management." Discovery Medicine 2013; 16 (88): 167–177.
Sá MJ. Acute transverse myelitis: a practical reappraisal. Autoimmun Rev. 2009 Dec; 9 (2): 128-31. doi: 10.1016/j.autrev.2009.04.005. Epub 2009 Apr 21.
"Proposed diagnostic criteria and nosology of acute transverse myelitis.". Neurology (Transverse Myelitis Consortium Working Group) 59 (4): 499–505. 27 August 2002.
Klein NP, Ray P, Carpenter D, Hansen J, Lewis E, Fireman B, Black S, Galindo C, Schmidt J, Baxter R. Rates of autoimmune diseases in Kaiser Permanente for use in vaccine adverse event safety studies. Vaccine. 2010 Jan 22; 28 (4): 1062-8. doi: 10.1016/j.vaccine.2009.10.115. Epub 2009 Nov 5.
Mealy MA, Wingerchuk DM, Greenberg BM, Levy M. Epidemiology of neuromyelitis optica in the United States: a multicenter analysis. Arch Neurol. 2012 Sep; 69 (9): 1176-80. doi: 10.1001/archneurol.2012.314.
Murthy JM, Reddy JJ, Meena AK, Kaul S. Acute transverse myelitis: MR characteristics 1999; 47 (4): 290-93.
Prabhakar S, Syal P, Singh P, Lal V, Khandelwal N, Das CP. Non-compressive myelopathy: clinical and radiological study. Neurol India 1999; 47: 294-9.
Murthy JM, Reddy JJ, Meena AK, Kaul S. Acute transverse myelitis: MRI characteristics: Neurol India 1999;47:290.
De Seze J, Lanctin C, Lebrun C et al. Idiopathic acute transverse myelitis: application of the recent diagnostic criteria. Neurology 2005; 65: 1950-3.
Choi KH, Kee KS, Chung SO et al. Idiopathic transverse myelitis: MR characteristics. Am J Neuroradiol 1996; 17: 1151-1160.
Goh C, Phal PM, Desmond PM. Neuroimaging in acute transverse myelitis. Neuroimaging Clin N Am. 2011 Nov; 21 (4): 951-73, x. doi: 10.1016/j.nic.2011.07.010.