Subacute Progressive Myelopathy: Transverse Myelitis or Subacute Combined Degeneration? A Case Report

Evolving subacute myelopathies have many possible etiologies. This is a report of a patient who presented with progressive paresthesias, proprioceptive loss, and gait disturbance with acute myelitis seen on Magnetic Resonance Imaging initially concerning for transverse myelitis. However, she also had vitamin B12 deficiency and her clinical course ultimately suggested a diagnosis more compatible with subacute combined degeneration. The clinical features, laboratory and imaging findings and prognosis of the two disorders are compared.

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