MYELOPATHY

INDEX

 

NMOSD            MOG Ab Disease               Sarcoidosis         Paraneoplastic           Dural AVF            Cord Infarction           Cervical Spondylosis

References


Mulitple Choice Self Test

Q1: 53-year-old man presented with lower extremity numbness, weakness, falls, and urinary incontinence. Shown are the sagittal T2-weighted (A) and post contrast sagittal and axial studies (B, C)..
    a: NMO.
    b: MOG antibody disease.
    c: Sarcoidosis.
    d: Spinal Dural AVF.
Q2: 45-year-old woman presented with tingling and cramping sensation in both arms and the legs; this was gradually progressive over six months. Shown are the sagittal T2-weighted and axial studies..
    a: NMO.
    b: Sarcoidosis.
    c: MOG antibody disease.
    d: Vitamin B12 deficiency.
Q3: A 52-year-old woman presented with progressive weakness of the legs associated with sensory loss. Which one of the following is the most likely cause?.
    a: Sarcoidosis.
    b: NMO.
    c: MOG antibody disease.
    d: Glioma.
Q4: 63-year-old man who underwent surgery for cervical disc disease. Sagittal MRI with gadolinium is shown. What is the likely diagnosis? .
    a: Cervical spondylosis.
    b: Dural AVF.
    c: Multiple Sclerosis.
    d: Paraneoplastic.
Q5: What is seen on the image (from the same patient as described in the previous question?) (Axial T1 image with Gadolinium).
    a: Sparing of Grey Matter.
    b: Posterior Column Involvement.
    c: Anterior and Posterior Column Involvement.
    d: Central Cord Involvement.
Q6: A 24-year-old male was diagnosed with Fabry’s disease; genetically and biochemically confirmed. He presented with paraplegia and a T9 sensory level with loss of sphincter function Lumbar puncture showed: elevated total protein (1,58 g/L), a mild pleoc.
    a: NMO.
    b: Spinal Cord Infarction.
    c: MOG antibody disease.
    d: Dural AVF.
Q7: A 35-year-old woman presents with rapid onset of paraplegia. Previous episode of optic neuropathy six months before this presentation. Shown are the sagittal MRI images of the lesion (T2 and gadolinium studies)..
    a: Neurosarcoidosis.
    b: NMO.
    c: Multiple Sclerosis.
    d: Spinal Cord Infarction.
Q8: A 47-year-old woman presented with progressive numbness of her arms and legs and difficulty balancing. Sagittal ( A ) and axial ( B ) T2-weighted MRI of the cervical spinal cord showed the following (image). What is the most likely diagnosis?.
    a: Vitamin B12 deficiency.
    b: NMO.
    c: Spinal Cord Infarction .
    d: Dural AVF.
Q9: 54-year-old woman with paraplegia, found to have a neuroendocrine carcinoma suggestive of thymus or small cell lung origin and MRI. What is the most likely aetiology of this presentation?.
    a: Neurosarcoidosis.
    b: NMO.
    c: Paraneoplastic spinal cord disease.
    d: Dural AVF.
Q10: 12-year-old-girl with gait abnormality and mild lower extremity weakness. What is the most likely aetiology of this presentation?.
    a: Neurosarcoidosis.
    b: NMO.
    c: MOG antibody disease.
    d: Transverse myelitis.
Q11: In the previous question, which image shows the pathognomonic feature of the disorder resulting in the myelopathy? .
    a: .
    b: .
    c: .
    d: .
Q12: 39 year old HIV positive patient (CD4 count 197) who presented with confusion; CSF showed Protein > 5; 0 polymorphs; 0 lymphocytes; 0.9 Glucose; 0 erythrocytes; CLAT & VDRL negative.She developed paroplegia 5 days later. What is the likely diagnosis?.
    a: Neurosarcoidosis.
    b: TB myelomeningoradiculopathy.
    c: NMO.
    d: Herpes myelitis.