A brief case series of radiation associated myelopathy

Radiation myelopathy (RM) is a rare but serious complication of radiotherapy. Small vessel ischemia and demyelination are some of the more remarkable indications of RM's pathophysiology. The RM is a diagnosis of exclusion. In the differential diagnosis, infectious causes, tumors, rheumatic dise...

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Bibliographic Details
Published in:	Neurosciences (Riyadh, Saudi Arabia) Vol. 26; no. 4; pp. 392 - 395
Main Authors:	Bunul, Sena D, Sarikaya, Cansu E, Ozturk, Onural, Sarikaya, Caner
Format:	Journal Article
Language:	English
Published:	Saudi Arabia Saudi Medical Journal 01-10-2021 Riyadh : Armed Forces Hospital
Subjects:	Case Reports Diagnosis, Differential Health aspects Humans Ischemia Magnetic Resonance Imaging Myelitis - diagnosis Radiation Radiation Injuries - diagnostic imaging Radiation Injuries - etiology Radiotherapy Spinal Cord Injuries
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Summary:	Radiation myelopathy (RM) is a rare but serious complication of radiotherapy. Small vessel ischemia and demyelination are some of the more remarkable indications of RM's pathophysiology. The RM is a diagnosis of exclusion. In the differential diagnosis, infectious causes, tumors, rheumatic diseases, and paraneoplastic syndromes are the main diseases that should be excluded. Contrast-enhanced magnetic resonance imaging (MRI) is a useful method for diagnosis. We present a report on 3 patients diagnosed with radiation myelitis. All the patients presented with late paraparasia and paresthesia. Despite high-dose steroids, hyperbaric oxygen, and physical therapy, there was no clinical improvement at the follow-up one year later.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1319-6138 1319-6138
DOI:	10.17712/nsj.2021.4.20210071