AI Article Synopsis
- The diagnosis of inflammatory vs. non-inflammatory myelopathy requires detailed clinical information like age, gender, and MRI results, with a focus on the speed of symptom onset.
- Inflammatory myelopathy often has a quick onset, while spinal cord infarction is very rapid, and other causes like tumors and vascular issues can progress slowly or fluctuate.
- It's crucial to rule out compressive myelopathy before diagnosing inflammatory myelopathy, and ongoing assessment during treatment is important, even if a clear diagnosis isn't achieved.
Article Abstract
The differential diagnosis of inflammatory and non-inflammatory myelopathy can be challenging. Clinical information such as age, gender, speed of onset and progression, systemic symptoms, spinal cord and brain MRI, autoantibodies, and cerebrospinal fluid findings are necessary. The speed of onset is particularly important for differentiation. Inflammatory myelopathy typically follows an acute/subacute course, while spinal cord infarction presents with a hyperacute course, and intramedullary tumors often have a chronic progressive course. Spinal dural arteriovenous fistula usually shows a chronic progressive course, but it can present with fluctuating symptoms in the early stages and may appear as an acute onset. It is essential to definitively exclude compressive myelopathy for the diagnosis of inflammatory myelopathy. Even if a definitive diagnosis cannot be made, regular reevaluation during treatment is necessary.
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| http://dx.doi.org/10.5692/clinicalneurol.cn-001909 | DOI Listing |
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