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Free Content Magnetic Resonance Imaging Patterns in Nontraumatic Pediatric Spinal Cord Myelopathy

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The goal of this pictorial review is to illustrate the various spinal cord MR imaging patterns that can be encountered in the child who develops acute noncompressive myelopathy. By recognizing the distinctive abnormal MR imaging patterns caused by various spinal cord pathologies, poliomyelitis-like syndromes can be distinguished from other noncompressive, nontraumatic pathologies, such as autoimmune disorders, demyelinating diseases, metabolic abnormalities, vascular lesions, and neoplasia. In this article, we propose a simple categorization scheme based on the MR imaging pattern of distribution in the spinal cord to facilitate the diagnosis of nontraumatic spinal cord lesions.

Learning Objective: To be able to differentiate various noncompressive pediatric spinal cord pathologies using a simple MR imaging categorization scheme.
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Keywords: ADEM = acute disseminated encephalomyelitis; AFM = acute flaccid myelitis; AFP = acute flaccid paralysis; AQP4 = serum aquaporin-4; ATM = acute transverse myelitis; EV = enterovirus; GBS = Guillain-Barré syndrome; HPeV = human parechovirus; IgE = immunoglobulin E; LE = longitudinally extensive; NMO = neuromyelitis optica; SCD = spinocerebellar degeneration; SCI = spinal cord infarction; WHO = World Health Organization; sDAVF = spinal dural arteriovenous fistula

Document Type: Research Article

Publication date: June 1, 2019

More about this publication?
  • Neurographics is the peer-reviewed, bimonthly educational journal of the American Society of Neuroradiology. The journal comprises articles selected from material presented at the ASNR Annual Meeting. Neurographics also publishes other high-quality submissions that are primarily educational and have a high emphasis on a pictorial approach. Neurographics offers CME credit for reading review articles and completing quiz-based self-assessment activities. CME credit for review articles may be claimed up to 3 years after an article's publication date. Visit https://members.asnr.org/webcast/content/course_list.asp?src=Neurographics to view all available CME courses.
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