What Started This? Debilitating Longitudinally-extensive Myelitis

The patient’s recurring symptoms suggested neurologic disease but the problem was,in fact,rheumatologic. A 50-year-old right-handed woman presented with focal motor and sensory deficits in both her upper and lower extremities. This was the fourth time in a year that she had developed various acute neurologic deficits. Each previous episode began with acute subscapular back pain followed by variable lower extremity weakness and muscle spasms. Magnetic resonance imaging (MRI) had consistently demonstrated an acute noncompressive spinal myelopathy,but diagnosis had otherwise remained elusive.
The American Journal of Medicine

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