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Spinal Magnetic Resonance Imaging in Funicular Myelosis

Arch Neurol. 2002;59:147-148.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 58-YEAR-OLD woman was admitted with a 6-week history of increasing sensory disturbances of her lower legs and a gradual gait disturbance. She denied experiencing muscle weakness, but walking in the dark was nearly impossible because of difficulty coordinating her gait without optical control. During the previous few years, she had had recurrent problems with gastritis. On neurological examination, a sensory cross-section was found at T4, vibration sense was absent in both legs, and the position sense in her feet was severely impaired. The patient denied any bladder disturbances. There was mild paresis in the musculature of the lower extremity limb girdle. Reflexes were absent in both lower legs, and pyramidal signs were present on her left side. Results of routine hematologic and biochemical blood tests showed megaloblastic anemia (mean corpuscular volume, 120 fL; hemoglobin, 10.5 g/dL; and hematocrit, 33.1%). Serum vitamin B₁₂ was reduced to 160 pg/mL, and the . . . [Full Text of this Article]

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