Management of Neurologic Diseases

  • Authors: David M. Simpson, MD; Jessica Robinson-Papp, MD (More Info)
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 4/1/16 (What's New)


  • Gadolinium-enhanced MRI of the spine is necessary to exclude structural causes of myelopathy
  • MRI may be normal or may demonstrate spinal cord atrophy or mild patchy T2 abnormalities[Chong 1999]
  • Blood tests are indicated to exclude other causes of myelopathy, including RPR, vitamin B12 level, and human T-lymphotropic virus-1 antibodies

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