Summary of Transverse myelitis
Flashcards on Transverse myelitis
Evidence of inflammation in transverse myelitis can be confirmed via (contrast agent) MRI.
Questions on Transverse myelitis
A 20-year-old Caucasian man comes to the emergency department because of a 3-day history of generalized lower extremity weakness, back pain, and urinary incontinence. His medical history is relevant for an uncomplicated herpes zoster infection 6 months ago. Upon further interrogation, the patient mentions that he was unable to sustain an erection during an attempted sexual intercourse with his girlfriend. Physical exam shows bilateral lower extremity sensory deficits and motor weakness. Bulbocavernosus reflex is absent. Brain MRI is normal. A contrasted spine MRI shows enlargement of the spinal cord and lesions occupying greater than two-thirds of the cross-sectional area of the cord. His temperature is 36.6°C (97.8°F), pulse is 78/min, respirations are 18/min, blood pressure is 110/70 mmHg. A lumbar puncture is obtained and shown below.
Which of the following is the most likely cause of this patient's current condition?