Diagnosis

A doctor will diagnose transverse myelitis based on your answers to questions about your signs and symptoms, your medical history, a clinical assessment of nerve function, and test results.

These tests, which may indicate inflammation of the spinal cord and rule out other disorders, include the following:

  • Magnetic resonance imaging (MRI) uses a magnetic field and radio waves to create 3-D images of soft tissues. An MRI can show inflammation of the spinal cord, and other potential causes of the symptoms, including abnormalities affecting the spinal cord or blood vessels.
  • Lumbar puncture (spinal tap) uses a needle to draw a small amount of cerebrospinal fluid (CSF), the protective fluid that surrounds your spinal cord and brain.

    In some people with transverse myelitis, CSF may have abnormally high numbers of white blood cells or immune system proteins that indicate inflammation. Spinal fluid can also be tested for viral infections or certain cancers.

  • Blood tests may include a test that checks for antibodies associated with neuromyelitis optica, a condition in which inflammation occurs both in your spinal cord and in the nerve in your eye. People with a positive antibody test are at increased risk of experiencing multiple attacks of transverse myelitis and require treatment to prevent future attacks.

    Other blood tests can identify infections that may contribute to transverse myelitis, or rule out other causes of symptoms.

Nov. 12, 2016
References
  1. Transverse myelitis fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/transversemyelitis/detail_transversemyelitis.htm. Accessed Aug. 23, 2016.
  2. Transverse myelitis. The Transverse Myelitis Association. http://myelitis.org/symptoms-conditions/transverse-myelitis/. Accessed Aug. 23, 2016.
  3. Eisen A. Disorders affecting the spinal cord. http://www.uptodate.com/home. Accessed Aug. 23, 2016.
  4. Krishnan C, et al. Transverse myelitis. http://www.uptodate.com/home. Accessed Aug. 23, 2016.
  5. Weinshenker BG (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 28, 2016.
  6. Frohman E, et al. Transverse myelitis. The New England Journal of Medicine. 2010; 363:564.
  7. Wingerchuk  D, et al. Acute disseminated encephalomyelitis, transverse myelitis, and neuromyelitis optica. Continuum. 2013;19(4):944.
  8. Scott T, et al. Evidence-based guideline: Clinical evaluation and treatment of transverse myelitis. Neurology. 2011;77:2128.