What features predict poor recovery in transverse myelitis?

Poor prognostic features: complete TM (absent motor + sensory + autonomic function below lesion), rapid progression to nadir <4 hours, NMOSD etiology, back pain at onset, MRI T1 hypointensity (cord necrosis). 50% of partial TM patients recover fully; only 10% of complete TM patients do.

How is idiopathic TM differentiated from MS-related myelitis?

MS myelitis: lesion 3 segments (LETM), central cord, complete syndrome, negative MS CSF profile. LETM warrants AQP4 and MOG antibody testing.

Transverse Myelitis Disability Score

Assess disability in acute transverse myelitis using motor, sensory, and bladder/bowel function across levels to predict recovery trajectory and differentiate complete from partial TM.

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NMOSD Attack Score

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Transverse Myelitis Disability Score

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Frequently Asked Questions

What features predict poor recovery in transverse myelitis?

How is idiopathic TM differentiated from MS-related myelitis?