Mycobacteria Infection in Incomplete Transverse Myelitis Is Refractory to Steroids: A Pilot Study
Figure 5
A 40-year-old woman had tetraparesis, C3 sensory level, and urinary incontinence for five months. Pulse methylprednisolone and IVIG were initiated with no resolution. However, ATT greatly improved her condition. The MRI changes are as follows: (a) sagittal T1-weighted MRI showing thickening of the cervical cord, (b) sagittal T2-weighted MRI showing a contiguous area of increased signal intensity spanning C2 to C7, (c) axial T2-weighted MRI showing the strong signal derived from the whole cord, (d) sagittal T1-weighted MRI after 2 years of treatment is normal, (e) sagittal T2-weighted MRI after 1 year of treatment, showing a normal spinal cord, and (f) axial T2-weighted MRI, showing no lesions.
