Frequency and characteristics of MRI-negative myelitis associated with MOG autoantibodies.
Mult Scler
; 27(2): 303-308, 2021 02.
Article
en En
| MEDLINE
| ID: mdl-32103708
ABSTRACT
BACKGROUND:
Myelitis accompanied by a negative spinal cord MRI may lead to diagnostic uncertainty. OBJECTIVE ANDMETHODS:
We retrospectively investigated the frequency of negative spinal cord MRI (performed <6 weeks from onset) in Mayo Clinic patients with myelin oligodendrocyte glycoprotein (MOG)-IgG-associated myelitis (2000-2019).RESULTS:
The initial spinal cord MRI was negative in 7/73 (10%) patients, despite severe acute disability (median EDSS, 7 (range, 4.5-8)); myelitis symptoms/signs were frequent (paraparesis, neurogenic bladder, sensory level, Lhermitte's phenomenon). Myelitis lesions became overt at follow-up MRI in three patients.CONCLUSIONS:
A negative spinal cord MRI should not dissuade from MOG-IgG testing in patients with acute/subacute myelitis.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Neuromielitis Óptica
/
Mielitis
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Año:
2021
Tipo del documento:
Article