A 28-year-old man presents with acute bilateral leg weakness and sensory loss below the T8 dermatome following a viral illness two weeks prior. Vital signs: BP 128/82, HR 92, RR 18, Temp 37.2°C, SpO2 98% on room air. MRI cervical spine demonstrates extensive T2 hyperintensity spanning three vertebral levels. CSF analysis reveals elevated protein (78 mg/dL) and pleocytosis (45 WBC/μL). Cranial nerves remain intact. Which diagnosis is most likely?
- A)Spinal cord compression
- B)Acute transverse myelitisGABARITO
- C)Guillain-Barré syndrome
- D)Epidural abscess
- E)Poliomyelitis
Explicação
Acute transverse myelitis is a demyelinating disorder presenting with acute paraplegia, sensory level (T8), and longitudinally extensive T2 hyperintensity on MRI. CSF pleocytosis with elevated protein is typical. It commonly follows viral infections and is ass... Ver explicação completa e trilha adaptativa →