Mycobacteria Infection in Incomplete Transverse Myelitis Is Refractory to Steroids: A Pilot Study
Figure 2
A 25-year-old woman was admitted due to the progressive weakness and parasthesia in both legs with voiding problem for 3 months. After 2-year ATT, her situation improved with good recovery of spinal function. The MRI changes are as follows: (a) first MRI performed in August 2005, T1 weighted image showing cord edema from T1 to bottom in the sagittal plane, with focal atrophy and syrinx cavity, (b) T2-weighted image showing a contiguous area of increased signal intensity, (c) cavity and band-like structure on axial T1-weighted images, (d, e) after one year of treatment, the swelling of cervical spinal cord greatly dissolved on sagittal T1-weighted image; the syrinx cavity is obviously diminished, (f) contiguous abnormal signal still left but diminished on the sagittal T2-weighted image, (g) the lesion is still obvious on axial T2-weighted images, (h, i) three years after treatment, the syrinx cavity is not obvious, and (j) some parts of thoracic cord restore normal signal on T2-weighted axial cord images. A small cavity is visible on T8, and increased signal intensity still exists below T9.
