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Ten(53%)patients experienced upper respiratory infection or vaccination within 4 weeks of symptom onset.The majority(82%)of cases occurred between December and May of each year.In 7 of 12 patients who underwent electromyography and nerve conduction examinations,evidence of peripheral nerve injury was seen.On T2-weighted axial images,13 of 18 lesions were depicted with holocord abnormal signal intensity,seven(39%)had gray matter involvement similar to that seen in spinal cord ischemia and three(16%)had isolated white matter involvement.Enhancement patterns varied.In three (17%)of the 18 lesions,enhancement in the cauda equina was similar to that seen in Guillain-Barre syndrome.IATM may be caused by a small vessel vasculopathy.MR findings in IATM also occasionally are similar to those described in Guillain-Barre syndrome and suggest a possible relationship. |
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cauda equina cauda equina,enhancement gadolinium Guillain Barre syndrome MRI MRI,abnormal MRI,contrast enhanced MRI,spinal cord myelitis myelitis,transverse myelitis,transverse,idiopathic myelitis,transverse,prognosis nerve conduction studies pain prognosis respiratory tract infection spinal cord,enlargement vasculopathy
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