Idiopathic longitudinally extensive myelitis: a brief historical excursion (review) and own clinical observation

Background: Idiopathic longitudinally extensive transverse myelitis is defined as a focal spinal cord lesion that involves three or more segments of the shown by neuroimaging, and results in profound disability. The clinical picture patient with idiopathic advanced often dramatic may consist paraparesis tetraparesis, sensory disturbances, pelvic dysfunction. common manifestation neuromyelitis optica spectrum disorders, but can also occur various other autoimmune inflammatory diseases CNS, such multiple sclerosis, sarcoidosis, Sjogrens syndrome, infectious involving CNS. It less likely to isolation, only demyelinating disease nervous system an unknown etiology (idiopathic myelitis).
 Clinical case description: observation presented article demonstrates difficulties establishing nosological diagnosis monophasic course TM absence central system. distributed had no visual disturbances antibodies aquaporin 4 myelin oligodendrocyte glycoprotein (MOG-IgG) twice repeated tests.
 Conclusion: In this regard, it important dynamically monitor manifestations MRI signs patients isolated nature form myelitis.