[Myelitis as a differential diagnosis of spinal cord tumors].
Neurochirurgie. 2017 Nov;63(5):349-355
Authors: Vermersch P, Outteryck O, Ferriby D, Zéphir H
BACKGROUND AND PURPOSE: Myelitis is widespread, associated to a number of aetiologies and represent in some instances a differential analysis for spinal twine tumors. Our goal was to evaluation the medical and paraclinical points of the principle aetiologies of myelitis.
METHODS: These aetiologies will likely be reviewed primarily based on information not solely from the scientific literature but additionally from our private expertise reported in numerous cohorts of sufferers.
RESULTS: A number of sclerosis is the principle explanation for partial myelitis in younger adults. Neuromyelitis optica is now a widely known particular entity continuously revealed by a transverse myelitis. The analysis relies on particular standards, together with the presence of anti-NMO antibodies. In our cohorts, roughly 12 % of the sufferers admitted for an acute or subacute myelitis have been associated to infections, primarily of a viral origin. Sufferers with myelitis should be screened for systemic ailments. As for neuromyelitis optica, sufferers with myelitis associated to a systemic illness needs to be handled in emergency. Acute myelitis is typically the primary symptom of a systemic lupus or of a sarcoidosis. Sjögren syndrome can mimic myelitis associated to main progressive a number of sclerosis. Spinal twine imaging contributes tremendously to defining the myelitis.
CONCLUSION: Most often, a routine medical and paraclinical examination and the follow-up of the sufferers can contribute to establishing the aetiology of a myelitis.
PMID: 29102045 [PubMed – indexed for MEDLINE]