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a,b,c,d. Sagittal and axial FSE T2w images at the onset of symptoms (a,c) and after 5 months (b,d). MR images obtained at the onset of symptoms show a diffuse hyperintensity of the dorsal spinal cord gray matter (arrows in a and c). After 5 months MRI shows only a linear residual hyperintensity involving the posterior spinal cord gray matter (arrows in b and d)
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Spinal Magnetic Resonance Imaging (MRI) with gadolinium revealed a hyperintense T2w signal from vertebral level D5 to D11, consistent with inflammatory myelitis (Figure 1a,c). The last MRI performed 5 months later (Figure 1b,d) showed the persistence of spinal cord alteration.