PMC5772484_01
The patient's cervical magnetic resonance imaging (MRI) at admission. There was demonstration of an abnormal cervical spinal cord signal, with hyperintensity (arrowheads) extending from C1 level to C7-T1 level with associated cord expansion as seen in sagittal T2-weighted image (A). Predominant involvement of the gray matter in the spinal cord is also noted (arrow) in the axial T2-weighted image (B). A repeat MRI obtained 4 days after admission demonstrated remarkable evolution and notable improvement, with reduction in cord edema and progression toward resolution of the abnormal T2 signal (panels C and D).
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T2-weighted image. These findings were diagnostic for transverse myelitis involving the C1-T1 segments with cord edema and preferential involvement of the gray matter (Figure 1A and B). A second MRI, 4 days after admission, showed significant improvement in the hyperintensity of T2 signal and edema (Figure 1C and D).