A 26-year-old woman with no prior neurological disease presents with acute bilateral leg weakness and numbness. Vital signs: BP 118/76, HR 88, RR 16, Temp 37.2°C, SpO2 98%. Spine MRI reveals central cord T2 hyperintensity at C4-C6. CSF analysis shows mildly elevated protein (52 mg/dL) with normal glucose. Formal testing demonstrates weakness and sensory loss in all limbs with preserved deep tendon reflexes. Bladder function remains intact. Which diagnosis best explains these findings?
- A)Acute lumbosacral radiculopathy
- B)Acute transverse myelitisGABARITO
- C)Multiple sclerosis with myelitis
- D)Guillain-Barré syndrome
- E)Spinal cord compression from disc herniation
Explicação
Acute transverse myelitis presents with acute paralysis and sensory level below a cord lesion. Central cord involvement with preserved reflexes and upper motor neuron signs (initially), along with acute presentation and cord signal change, is diagnostic. This ... Ver explicação completa e trilha adaptativa →