Mycobacteria Infection in Incomplete Transverse Myelitis Is Refractory to Steroids: A Pilot Study
Figure 3
A 58-year-old female developed paraplegia and paresthesias in August 2007; weakness slowly worsened. Pulse methylprednisolone and IVIG were initiated with no resolution; she continued to deteriorate. After 2-year ATT, her situation fully recovered. The MRI changes are as follows: (a) sagittal T2-weighted image showing a contiguous area of increased signal intensity spanning T2 to T3 level, (b) axial T2-weighted images reveal the strong signals, (c) axial MRI images showing focal cord enhancement, (d) after 5 months of ATT, the lesion decreased, (e) following 1-year ATT, sagittal T2-weighted MRI of the thoracic cord reveals no abnormal signals, and (f) no lesion is visible on cross-sectional T2-weighted images.
