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Neurosciences (Riyadh) ; 26(4): 392-395, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34663714

RESUMEN

Radiation myelopathy (RM) is a rare but serious complication of radiotherapy. Small vessel ischemia and demyelination are some of the more remarkable indications of RM's pathophysiology. The RM is a diagnosis of exclusion. In the differential diagnosis, infectious causes, tumors, rheumatic diseases, and paraneoplastic syndromes are the main diseases that should be excluded. Contrast-enhanced magnetic resonance imaging (MRI) is a useful method for diagnosis. We present a report on 3 patients diagnosed with radiation myelitis. All the patients presented with late paraparasia and paresthesia. Despite high-dose steroids, hyperbaric oxygen, and physical therapy, there was no clinical improvement at the follow-up one year later.


Asunto(s)
Mielitis , Traumatismos por Radiación , Traumatismos de la Médula Espinal , Diagnóstico Diferencial , Humanos , Imagen por Resonancia Magnética , Mielitis/diagnóstico , Traumatismos por Radiación/diagnóstico por imagen , Traumatismos por Radiación/etiología
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