MYELOPATHY

INDEX

 

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

References


Mulitple Choice Self Test

Q1: 45 year old man presents with 1 ½ year history of gradually progressive weakness of the legs, associated with spasticity and ankle clonus. Poorly delineated sensory level at the level of the umbilicus, with impairment to light touch and pinprick.
    a: Neurosarcoidosis.
    b: NMO.
    c: Paraneoplastic spinal cord disease.
    d: Dural AVF.
Q2: A 13-year-old male presented with bilateral hand numbness with persistent back and neck pain, rapidly progressed to quadriplegia beginning after a prolonged episode of coughing 3 days earlier. .
    a: MOG antibody disease.
    b: NMO.
    c: Spinal cord infarction.
    d: Dural AVF.
Q3: What imaging modality would be indicated in this particular patient? .
    a: Gadolinium sagittal and axial studies .
    b: DWI.
    c: Spinal angiogram.
    d: SWI.
Q4: What is the pathognomonic feature seen on imaging in the previous case?.
    a: Tie fighter .
    b: Snake eyes.
    c: Tract specific enhancement .
    d: Central cord necrosis .
Q5: A 25-year-old female presents with rapid onset of paraplegia with a sensory level at T4 and loss of sphincter function. Imaging is shown: Sagittal and axial T2-weighted images. No gadolinium enhancement is present in the acute/subacute period (b,d). Wha.
    a: MOG antibody disease.
    b: NMO.
    c: Spinal Cord Infarction .
    d: Dural AVF.
Q6: A 14-year-old boy presents with a two week history of gradually progressive paraparesis. Imaging is shown. What is the most likely aetiology of this presentation?.
    a: MOG antibody disease .
    b: NMO .
    c: Spinal Cord Infarction .
    d: Dural AVF.
Q7: A 65 year old man presents with a gradually progressive paraparesis. Imaging is shown (Sagittal MRI, pre and post contrast). What is the most likely aetiology of this presentation?.
    a: MOG antibody disease .
    b: NMO .
    c: Spinal Cord Infarction .
    d: Dural AVF.
Q8: A 45 year old woman presents with progressive loss of balance and is found to have features of a myelopathy and relatively severe position sense loss.T2 weighted sagittal and axial views are shown. What is the most likely aetiology of this presentation?.
    a: MS .
    b: NMO .
    c: Spinal Cord Infarction .
    d: Dural AVF.
Q9: A 27 year old woman presented with paraplegia. In addition she had nausea and vomiting and 6th and 7th nerve palsy. Spinal cord imaging is shown. CSF was positive for oligoclonal bands. Which of the following is the most likely diagnosis?.
    a: MOG antibody disease . .
    b: Paraneoplastic associated spinal cord disease.
    c: Neurosarcoidosis.
    d: NMO.
Q10: 41 year old patient presents with a rapid onset of paraplegia. He is found to be HIV positive. CSF shows elevated total protein (0,8 g/L), a mild pleocytosis (19 lymphocytes/µl), and a glucose value of 3.2. Oligoclonal bands were negative. T1 weighted s.
    a: NMO .
    b: Neurosyphilis .
    c: MS .
    d: Sarcoidosis.