A very interesting case of a young female aged 17 who presented with sudden onset of Flaccid Quadriparesis with Bladder Bowel Involvement since the beginning and weakness was fully evolved in 1 hour....On examination, there was a sensory level at C4 below which all superficial n deep reflexes were lost including complete sensory loss...power was 0/5 in all limbs....comment on her MRI Spine and discuss the cause for her condition

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T1 w images shows cord swelling fron C5 to C7 .T2W images shows intramedullary T2 hyperintense signal C567.2nd set of film the lesion from c3 to c7 (2 nd set 2nd row 2nd film from above down ). Acute transverse myelopathy. Post or parainfectious demylination with cord edema. Spinal cord infarction has to exclude

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Yes findings are suggestive of spinal cord swelling intra medullary from c4 to c7 Absolutely agree with dr Manorma Rajan D/d ms or demylenation and infarction

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Syringomyelia(C5-C7) Surgical intervention Refer to Neurogeon for necessary management and treatment.

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Acute tranverse myelitis Reapid progression is more in favour of myelitis rather than myelopathy. Acute traumatic lesion ....must be rule out.

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Transverse myelitis in shock

May be cervical spine involving.

Transverse myelitis??

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Check vep to ruleout neuromyelitis optica

Do aquaporin antibodies also

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