Table 8.
Inclusion Criteria | Exclusion Criteria |
---|---|
Neurologic impairment attributable to the spinal cord | History of radiation to the spine within 10 y |
Bilateral signs or symptoms (may be asymmetric) | Anterior spinal artery distribution of deficits |
Clearly defined sensory level | Abnormal flow voids on the spinal cord |
Exclusion of extra-axial compressive etiology by neuroimaging | Serologic or clinical evidence of systemic autoimmune disease |
Evidence of inflammation in the spinal cord (CSF cells or IgG index, or MRI gadolinium enhancement) seen at onset or within 7 d | CNS manifestations of infectious etiology (eg, syphilis, Lyme, HIV, HTLV-1, Mycoplasma) |
Progressive worsening to a nadir between 4 h to 21 d after onset | Brain MRI lesions suggestive of MS |
History of optic neuritis |
Abbreviations: CNS, central nervous system; CSF, cerebrospinal fluid; HTLV, Human T-Lymphotropic Virus; Ig, immunoglobulin; MRI, magnetic resonance imaging; MS, multiple sclerosis.
Data from Transverse Myelitis Consortium Group. Proposed diagnostic criteria and nosology of acute transverse myelitis. Neurology 2002;59:499–505.