Question 2512
{"accessible":false,"alternatives":[{"id":12342,"text":"idiopathic transverse myelitis"},{"id":12344,"text":"multiple sclerosis (MS)"},{"id":12343,"text":"neuromyelitis optica (NMO)"},{"id":12345,"text":"sarcoidosis"},{"id":12346,"text":"spinal cord infarct"}],"archived":false,"correctAlternativeId":12343,"explanation":"\u003cp\u003eThe description is of ‘bright spotty lesions’ within a longitudinally extensive cord abnormality, which is relatively specific for \u003ca href=\"/articles/neuromyelitis-optica-spectrum-disorder\"\u003eneuromyelitis optica (NMO)\u003c/a\u003e. These have also been described in spinal cord infarcts. However, the history is not of sudden onset symptoms that would be expected for infarction. \u003ca href=\"/articles/multiple-sclerosis\"\u003eMS\u003c/a\u003e typically presents with short segment lesions. \u003ca href=\"/articles/sarcoidosis-1\"\u003eSarcoidosis\u003c/a\u003e and \u003ca href=\"/articles/transverse-myelitis\"\u003etransverse myelitis\u003c/a\u003e are differentials for longitudinally extensive lesions but are not associated with ‘bright spotty lesions’.\u003c/p\u003e","id":2512,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2512","nextQuestionPath":"/articles/acute-spinal-cord-ischaemia-syndrome/questions/2511","relatedArticles":[{"id":1700,"title":"Multiple sclerosis","link":"/articles/multiple-sclerosis?lang=us"},{"id":19537,"title":"Transverse myelitis","link":"/articles/transverse-myelitis?lang=us"},{"id":2019,"title":"Sarcoidosis","link":"/articles/sarcoidosis-1?lang=us"},{"id":1218,"title":"Neuromyelitis optica spectrum disorder","link":"/articles/neuromyelitis-optica-spectrum-disorder?lang=us"}],"alsoUsedIn":[{"id":1343,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1343","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1343"},{"id":1200,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1200","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1200"},{"id":248,"kind":"LiveSchedule","title":"248","link":"https://radiopaedia.org/admin/live_schedules/248"},{"id":153,"kind":"LiveSchedule","title":"153","link":"https://radiopaedia.org/admin/live_schedules/153"},{"id":1264,"kind":"Course","title":"Neuroradiology Lectures - page 1264","link":"https://radiopaedia.org/courses/neuroradiology-lectures/pages/1264"},{"id":1264,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1264","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1264"},{"id":1264,"kind":"Course","title":"New test course - page 1264","link":"https://radiopaedia.org/courses/new-test-course/pages/1264"}],"stem":"\u003cp\u003eA patient presents with a week of progressive upper followed by lower limb neurological symptoms. MRI reveals a longitudinally extensive T2\u0026nbsp;hyperintense cord lesion between the C6 and T5 levels, with a few scattered focal relative hyperintensities within the abnormal region at the T1 level. The most likely cause\u0026nbsp;is...\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2512"}],"attemptsPercentages":[{"alternativeId":"12343","percentage":67},{"alternativeId":"12344","percentage":7},{"alternativeId":"12342","percentage":19},{"alternativeId":"12345","percentage":4},{"alternativeId":"12346","percentage":2}],"promptToLogin":false,"questionManager":false,"articleId":"acute-spinal-cord-ischemia-syndrome"}