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. 2011 Feb 7;2011:501369. doi: 10.1155/2011/501369

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Copyright © 2011 Yanqing Feng et al.

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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A 30-year-old male suffered from left paraparesis and paresthesias for 1 month. MRI of the cervical spinal cord revealed a demyelinating lesion in T2-weighted images extending from C4 to C7. Pulse methylprednisolone and IVIG were initiated with no resolution. The MRI changes are as follows: (a) sagittal T2-weighted image reveals a high intensity signal from C4 to C7 before ATT regimen, (b) sagittal T1-weighted MRI showing light thickening of the cord with subtle intraparenchymal hyperintensity, (c) the left local lesions on axial FLAIR sequences, (d) the hyperintensity resolved following 6 months of ATT, (e) no lesion is visible on axial T2-weighted images, and (f)–(h) no lesion is visible on follow-up MRI after 2 years of treatment.