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Spinal problem,MR report shows patchy intra-medullary hyper-intensity,myelitis

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Practicing since : 2010
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hi i need help...actually my mom has spinal problem.doctor said that
"The MR findings show patchy intra medullary hyperintensity
in mid and lower dorsal region extending from 07-08 to 010-
011 levels on T2WI.
Possibility of myelitis appears likely."

So please give me advise for speedy recovery.
Posted Sun, 29 Apr 2012 in Brain and Spine
 
 
Answered by Dr. Tulasi Raman.P 5 hours later
Hi Gulammaohayuddin,

Thanks for your query.

The information you have given me is very less. So write back to me with the following details so that I can answer you better.

1. Age of your mother?
2. Does she have any symptoms related to the above illness, If so since when?
3. Is there any weakness in the lower limbs?
4. Does she have bladder or bowel complaints?
5. What was indication for MRI ?
6. What other tests have you done? if done kindly write down to me.
7. Is she a diabetic, have high blood pressure, breathing difficulties etc?
8. Other details which you think a doctor should know about her health in past.

Please get back to me with these details. So that I can help you better.
Above answer was peer-reviewed by
 
Follow-up: Spinal problem,MR report shows patchy intra-medullary hyper-intensity,myelitis 13 hours later
1. Age of your mother - 62
2. Does she have any symptoms related to the above illness, If so since when - she can't walk since 1 month and she has pain in spinal.
3. Is there any weakness in the lower limbs -yeah she has weakness in the lower limbs.
4. Does she have bladder or bowel complaints- she doesn't know about toilet.
5. What was indication for MRI - SAGITTAL T1W AND T2W AND AXIAL T2W IMAGES THROUGH
DORSAL SPINE HAVE BEEN OBTAINED ON 1.5 TESLA 8 CHANNELS
SYSTEM WITH HIGH STRENGTH GRADIENTS.
Hemangioma in body of D7 noted. Vertebrae appear normal in size and
shape and show normal marrow signal intensity. No evidence of
discovertebral osteomyelitis or abnormal para-spinal collection.
Patchy intra medullary hyperintensity is noted in mid and lower dorsal region
extending from D7-D8 to D10-D11 levels on T2WI.
AP DIAMETERS: C7-D1-12MM. D1-D2-12MM. D2-D3-11MM. D3-D4-11MM.
D4-D5-11MM. D5-D6-12MM. D6-D7-11MM. D7-D8-11MM. D8-D9-11MM. D9-'
D10-12MM. D10-D11-12MM. D11-D12-12MM. D12-L 1-15MM.L 1-L2-17MM.
L2-L3-18MM.
OPINION: The MR findings show patchy intra medullary hyperintensity
in mid and lower dorsal region extending from 07-08 to 010-
011 levels on T2WI.
Possibility of myelitis appears likely.

6. What other tests have you done? if done kindly write down to me - we have done only MRI .No Other test
7. Is she a diabetic, have high blood pressure, breathing difficulties etc- yes she has diabetic and blood pressure.
8. Other details which you think a doctor should know about her health in past.
 
 
Answered by Dr. Tulasi Raman.P 4 hours later
Hi Gulammaohayuddin,

Thanks for getting back to me with the details I have asked for.

MRI findings:
Patchy Intra Medullary hyper-intensity in mid and lower dorsal region extending from D7-D8 to D10-D11 levels on T2WI

As your doctor said this is possibly myelitis what they must have meant is probably Transverse Myelitis.

Let me explain to you about Transverse Myelitis:
It is a neurological condition caused by inflammation of the spinal cord. As the spinal cord carries motor nerve fibers to the limbs and trunk and sensory fibers from the body back to the brain. Inflammation within the spinal cord interrupts these pathways and causes symptoms like limb weakness, sensory disturbance, bowel and bladder dysfunction, back pain etc.

There are different reasons for Transverse Myelitis, I shall mention the most commonly known of them:
1. Infections - bacterial, virus.
2. Auto-immune conditions
3. Vascular problems - Thrombosis, vasculitis

Now can you it be treated?

There is no specific treatment for this condition.
It is to be treated symptomatically and largely depends upon the severity of neurological involvement. Meaning to say if there is pain give analgesics, for spasm administer muscle relaxants etc

Identify and treat the underlying cause and may include the use of intravenous steroids and other drugs to suppress inflammation.

How can it develop into in future?
Most patients with Transverse Myelitis show good to fair recovery.
Recovery maybe partial or complete and generally begins within 1 to 3 months.
If there is no improvement within 3 months significant recovery is unlikely.
Generally Transverse Myelitis is one time occurrence only.

Hope I have answered your query. If you have any follow up queries I will be available to answer them.
Above answer was peer-reviewed by
 
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