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August 27, 2002; 59 (4) Views & Reviews

Proposed diagnostic criteria and nosology of acute transverse myelitis

Transverse Myelitis Consortium Working Group*
First published August 27, 2002, DOI: https://doi.org/10.1212/WNL.59.4.499
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Proposed diagnostic criteria and nosology of acute transverse myelitis
Transverse Myelitis Consortium Working Group*
Neurology Aug 2002, 59 (4) 499-505; DOI: 10.1212/WNL.59.4.499

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Abstract

Acute transverse myelitis (ATM) is a focal inflammatory disorder of the spinal cord, resulting in motor, sensory, and autonomic dysfunction. A set of uniform diagnostic criteria and nosology for ATM is proposed to avoid the confusion that inevitably results when investigators use differing criteria. This will ensure a common language of classification, reduce diagnostic confusion, and lay the groundwork necessary for multicenter clinical trials. In addition, a framework is suggested for evaluation of individuals presenting with signs and symptoms of ATM. Best treatment often depends on a timely and accurate diagnosis. Because acute transverse myelopathies are relatively rare, delayed and incomplete work-ups often occur. Rapid and precise diagnosis will ensure not only that compressive lesions are detected and treated but also that idiopathic ATM is distinguished from ATM secondary to a known underlying disease. Identification of etiologies may suggest medical treatment, whereas no clearly established medical treatment currently exists for idiopathic ATM. Establishment of a diagnostic algorithm will likely lead to improved care, although it is recognized that the entire evaluation may not be performed for each patient.

  • Received November 14, 2001.
  • Accepted April 6, 2002.
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Disputes & Debates: Rapid online correspondence

  • Reply to Letter to the Editor
    • Douglas Kerr, Johns Hopkins Hospital Baltimore MDdkerr@jhmi.edu
    Submitted October 30, 2002
  • Proposed diagnostic criteria and nosology of acute transverse myelitis
    • Gustavo C Roman, The University of Texas Health Science Center at San Antonioneuro_journal@urmc.rochester.edu
    Submitted October 30, 2002
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