„Man-in-the-barrel“-Syndrom

Gawehn, Joachim; Ringel, Kurt

doi:10.1007/s00062-005-6417-3

Cited by 4 publications

(1 citation statement)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Restricted diffusion may be detectable in the acute stage followed by contrast enhancement on pc T1WI in the subacute phase 78 . As a watershed zone of the spinal cord is located in the mid-cervical region 87 88 89 , the motor neurons of nerve roots C3-C6 are usually affected with consecutive “man-in-the-barrel syndrome” on neurological examination 90 91 . However, neurodegenerative diseases involving the second (lower) motor neurons, e. g., spinal muscular atrophy, amyotrophic lateral sclerosis, and atopic myelitis with focal amyotrophy and raised IgE levels (Hopkins syndrome) may also cause a similar lesion pattern on T2WI ( Fig.…”

Section: Polio-like Lesionsmentioning

confidence: 99%

Cervical myelitis: a practical approach to its differential diagnosis on MR imaging

Weidauer

Hattingen

Arendt

2023

Rofo

View full text Add to dashboard Cite

Background Differential diagnosis of non-compressive cervical myelopathy encompasses a broad spectrum of inflammatory, infectious, vascular, neoplastic, neurodegenerative, and metabolic etiologies. Although the speed of symptom onset and clinical course seem to be specific for certain neurological diseases, lesion pattern on MR imaging is a key player to confirm diagnostic considerations. Methods The differentiation between acute complete transverse myelitis and acute partial transverse myelitis makes it possible to distinguish between certain entities, with the latter often being the onset of multiple sclerosis. Typical medullary MRI lesion patterns include a) longitudinal extensive transverse myelitis, b) short-range ovoid and peripheral lesions, c) polio-like appearance with involvement of the anterior horns, and d) granulomatous nodular enhancement prototypes. Results and Conclusion Cerebrospinal fluid analysis, blood culture tests, and autoimmune antibody testing are crucial for the correct interpretation of imaging findings. The combination of neuroradiological features and neurological and laboratory findings including cerebrospinal fluid analysis improves diagnostic accuracy. Key Points:

show abstract

Section: Polio-like Lesionsmentioning

confidence: 99%

Cervical myelitis: a practical approach to its differential diagnosis on MR imaging

Weidauer

Hattingen

Arendt

2023

Rofo

View full text Add to dashboard Cite

show abstract

Spinal Cord Infarction

Weidauer¹,

Nichtweiß

Berkefeld

2014

Diseases of the Spinal Cord

View full text Add to dashboard Cite

Magnetic Resonance Imaging and Clinical Features in Acute and Subacute Myelopathies

Weidauer

Wagner

Nichtweiß³

2017

Clin Neuroradiol

View full text Add to dashboard Cite

Differential diagnosis of acute and subacute transverse myelopathy includes inflammatory, infectious, vascular, metabolic and paraneoplastic etiologies. Information on the diagnostic approach to transverse myelopathy with regard to daily clinical practice is provided. The differentiation between five lesion patterns on magnetic resonance imaging (MRI) in myelitis may be helpful: (1) longitudinal extensive transverse myelitis, (2) short segment ovoid or peripherally located, (3) "polio-like", (4) granulomatous and (5) segmental with rash. A correlation with these imaging features is supported if the clinical course and neurological symptoms are known. Although the mean interval from onset to nadir of symptoms in spinal cord infarction is 1 h, an overlap with a fulminant course of myelitis is possible, and impaired diffusion may also occur in acute inflammatory processes. As a result, laboratory testing, including aquaporin-4 antibodies and cerebrospinal fluid analysis, is crucial for the correct interpretation of imaging findings. Moreover, the discrimination of acute complete and acute partial transverse myelitis is advantageous in order to identify diverse entities, the latter often being a precursor to multiple sclerosis. Additional brain imaging is mandatory in suspected demyelinating, infectious, neoplastic and systemic autoimmune disease. A symmetrical lesion pattern restricted to individual tracts or dorsal columns indicates subacute combined degeneration of the spinal cord and, in addition to deficiency syndromes, a paraneoplastic etiology should be considered.

show abstract

„Man-in-the-barrel“-Syndrom

Cited by 4 publications

References 15 publications

Cervical myelitis: a practical approach to its differential diagnosis on MR imaging

Cervical myelitis: a practical approach to its differential diagnosis on MR imaging

Spinal Cord Infarction

Magnetic Resonance Imaging and Clinical Features in Acute and Subacute Myelopathies

Contact Info

Product

Resources

About