Suspected Transverse Myelitis with Normal MRI and CSF Findings in a Patient with Lupus: What to Do? A Case Series and Systematic Review.
Rory C MonahanHannelore J L BeaartRolf FronczekGisela M TerwindtLiesbeth J J Beaart-van de VoordeJeroen de BresserMargreet KloppenburgNic J A van der WeeRory Caitlin MonahanGerda M Steup-BeekmanPublished in: Neuropsychiatric disease and treatment (2020)
Outcome in SLE patients presenting with clinically suspected TM with normal sMRI and CSF is less favorable, despite treatment with immunosuppressive therapy. Taking a functional neurological disorder into consideration may be helpful in order to start other therapeutic strategies. We suggest prescribing immunosuppressive treatment for a restricted period of time to evaluate its effect in cases where a functional disorder initially is considered unlikely.
Keyphrases
- systematic review
- systemic lupus erythematosus
- magnetic resonance imaging
- primary care
- pulmonary embolism
- randomized controlled trial
- meta analyses
- rheumatoid arthritis
- stem cells
- magnetic resonance
- computed tomography
- case report
- combination therapy
- replacement therapy
- contrast enhanced
- blood brain barrier
- mesenchymal stem cells