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Thirty-three patients satisfied study criteria,corresponding to an incidence of 4.6 per million per year Forty-five percent of these cases were categorized as parainfectious,21%as associated with multiple sclerosis,12%as associated with spinal cord ischemia,and 21%as idiopathic. Patients with parainfectious TM suffered from spinal shock more frequently than did those with multiple sclerosis-associated TM.Patients with parainfectious TM showed evidence of spinal cord swelling,whereas patients with multiple sclerosis-associated TM had spinal cord plaques on magnetic resonance images but none showed swelling.Oligoclonal bands were absent in patients with parainfectious TM and present in three of five patients with multiple sclerosis-associated TM.Parainfectious TM may be distinguishable from that associated with multiple sclerosis on the basis of presentation, findings on imaging,and the presence of cerebrospinal fluid oligoclonal bands. |
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cerebrospinal fluid cerebrospinal fluid,abnormal cerebrospinal fluid,oligoclonal IgG in encephalomyelitis,parainfectious encephalomyelitis,postinfectious gastroenteritis multiple sclerosis myelitis myelitis,transverse respiratory tract infection review article spinal cord,enlargement spinal cord,ischemic lesion of spinal shock viral infection viral infection,CNS
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