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Prolongation of T1 or T2 signal(or both)was seen in eight episodes(100%). Spinal cord enlargement was seen in six(75%)of eight transverse myelitis episodes,although it was mild during two episodes.Contrast enhancement was seen in three of six transverse myelitis episodes(dense,inhomogeneous enhancement during two episodes in one patient,and a small focal of enhancement in one patient).During periods of remission,spinal cord diameter returned to normal,and no contrast enhancement was seen,although abnormal signal was present in three examinations performed within 2 months of a transverse myelitis episode.Spinal cord widening and signal abnormalities are common MR findings during episodes of transverse myelitis related to systemic lupus erythematosus and contrast enhancement is less frequently seen.Improvement or resolution of these findings correlates with clinical improvement. |
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gadolinium MRI MRI,abnormal MRI,contrast enhanced MRI,spinal cord myelitis myelitis,transverse paraparesis quadriparesis sensory level spinal cord,enlargement systemic lupus erythematosus systemic lupus erythematosus,neurologic complications with treatment of neurologic disorder
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