Longitudinally extensive spinal cord lesions (lescl), also known as longitudinally extensive transverse myelitis (letm), represent extensive involvement of the spinal cord, with abnormal t2 signal traversing at least three vertebral body segments. We describe a patient presenting acutely with a corticosteroid-responsive longitudinally extensive transverse myelitis and granulomatous lung lesions with a previous history of recurrent generalised lymphadenopathy, pyogenic infections and idiopathic thrombocytopenic purpura. Whilst rare, longitudinally extensive transverse myelitis is clinically important as it can lead to catastrophic morbidity, and a group of these patients are at risk of further attacks early identification and establishment of the underlying aetiology is vital in order to initiate appropriate therapy and optimize outcomes. To evaluate the demographic profile, clinical presentations, laboratory parameters and etiologies of longitudinally extensive transverse myelitis (letm) patients in indian population patients and methods.
Immunosuppressive therapies are used for longitudinally extensive tm at high risk for recurrent myelitis or neuromyelitis optica definition transverse myelitis (tm) is a pathogenetically heterogeneous focal inflammatory disorder of the spinal cord characterized by acute or subacute development of motor weakness, sensory impairment, and. 1 department of neurology, mohamed v military teaching hospital, mohamed v university, rabat, morocco 2 department of dermatology, mohamed v military teaching hospital, mohamed v university, rabat, morocco corresponding author: youssouf benmoh, department of neurology, mohamed v military teaching. Abstract = purpose of review: longitudinally extensive transverse myelitis (letm) is a frequently devastating clinical syndrome which has come into focus for its association with neuromyelitis optica (nmo. Figure 1magnetic resonance imaging (mri) of the spinal cord during course of illness mri showed a longitudinally extensive transverse myelitis (letm) of the cervical and thoracic spinal cord.
Longitudinally extensive transverse myelitis: a rare association with further surveillance of cvid patients recommended furthermore, myelitis is a recognised. An unusual cause of longitudinally extensive transverse myelitis - case report 1,2adina stoian, the patients with transverse myelitis associated with ss, 85. Longitudinally extensive transverse myelitis (letm) is a syndrome with extensive spinal cord lesions spanning three or more vertebral segments on spinal cord mri although many reports have indicated that letm is a characteristic feature of neuoromyelitis optica (nmo) in western countries, the clinical characteristics and risk for development.
Longitudinally extensive transverse myelitis (letm), characterised by spinal cord inflammation extending three or more vertebral segments may be caused by multiple disorders most common being neuromyelitis optica(nmo) such is the frequent association between these two entities that there is a. Longitudinally extensive transverse myelitis in neuromyelitis optica: a prospective study of 13 caucasian patients and literature review. Longitudinally extensive transverse myelitis neuromyelitis optica multiple sclerosis acute disseminated encephalomyelitis this is a preview of subscription content, log in to check access notes. This study described the clinical and paraclinical features of south indian patients with longitudinally extensive transverse myelitis (letm) and contrasted the findings betweenaquaporin-4 positive versus negative patients. Objective: this study sought to identify factors that increased the risk of recurrence after an initial transverse myelitis (tm) presentation methods: retrospective cohort study of 192 patients initially presenting with tm of unknown etiology patients diagnosed with multiple sclerosis during the.
Background/purpose: demyelinating syndrome in npsle includes the wide range of lesions similar to multiple sclerosis (ms) recently, the diagnostic criteria for neuromyelitis optica spectrum disease (nmosd) has been established, independently of ms clinically, longitudinally extensive transverse myelitis (letm) as is described in the definition of nmosd can be observed even in patients with sle. We investigated whether neuromyelitis optica (nmo) igg seropositivity at the initial presentation of longitudinally extensive transverse myelitis (letm) predicts relapse of myelitis or development of optic neuritis. Conclusions: brain mris of patients with neuromyelitis optica spectrum disorders with contrast enhancement during an acute relapse of optic neuritis and/or longitudinally extensive transverse myelitis are associated with increased annual relapse rates.
Clinical characteristics, prognosis, and seropositivity to the anti-aquaporin-4 antibody in korean patients with longitudinally extensive transverse myelitis. The prognosis for patients with longitudinally extensive transverse myelitis is typically poor, although retrospective studies suggest that a similar proportion of patients will experience neurologic improvement with treatment as do those with milder types of acute transverse myelitis2, 11 in the recent systematic review by espinosa and. Longitudinally extensive transverse myelitis (letm) is an important component of the clinical diagnosis of nmo the frequency of brainstem and letm lesions, changes over time of letm and the clinical consequences in the course of nmo have only been sparsely studied. However, 10-15% of patients may have neurological complications (neurosarcoidosis) that may be manifested as transverse myelitis, meningitis and other neurological problems myelopathies associated with neurosarcoidosis are frequently longitudinally extensive subacute or chronic and may produce significant neurological disability.
Longitudinally extensive transverse myelitis (letm) is usually associated with neuromyelitis optica and other autoimmune and inflammatory disorders but this is the first report linking it with dengue fever dengue infection can cause a variety of neurological complications which may result in poor. Herpes simplex virus type 2 myelitis: case report and review of the literature myelitis in non-immunocompromised patients: longitudinally extensive transverse. Sherer y, hassin s, shoenfeld y, et al transverse myelitis in patients with antiphospholipid antibodies the importance of early diagnosis and treatment clin rheumatol 200221:207-10 schimmel ms, schlesinger y, berger i, et al transverse myelitis: unusual sequelae of neonatal group b streptococcus disease. Purpose of review longitudinally extensive transverse myelitis (letm) is a frequently devastating clinical syndrome which has come into focus for its association with neuromyelitis optica (nmo) recent advances in the diagnosis of nmo have led to very sensitive and specific tests and advances in.