case_images: PMC11272404_01
case_images: Thoracic Cord Imaging. The leftmost image represents the midsagittal section of the thoracic cord. The subsequent series of pictures display axial views of three distinct segments of the spinal cord (labeled as A, B, and C) corresponding to the midsagittal section. The third image depicts the T1-weighted sagittal section without contrast injection. The image on the right shows the T1-weighted sagittal section after gadolinium injection.
case_images: CRINM2024-9027198.001.jpg
case_images: PMC11272404_01_CRINM2024-9027198.001.jpg
case_images: fig1
case_images: T4-T6 (Figure 1), which corresponded to the same dermatome involved in shingles (Figure 2), and the positive result of cerebrospinal fluid PCR for varicella (with 500 copies/ml), the diagnosis was shingles myelitis.
case_images: Image of the patient's rash around dermatomes T8-9 showed crusted lesions and some pustular lesions, as seen around dermatome T5 (indicated by the arrow).
case_images: CRINM2024-9027198.002.jpg
case_images: PMC11272404_01_CRINM2024-9027198.002.jpg
case_images: fig2
case_images: T4-T6 (Figure 1), which corresponded to the same dermatome involved in shingles (Figure 2), and the positive result of cerebrospinal fluid PCR for varicella (with 500 copies/ml), the diagnosis was shingles myelitis.
case_images: Thoracic MRI after 12 days of treatment. Lesion is better visible around T4-T6 (A and B) and T11-T12 (C).
case_images: CRINM2024-9027198.003.jpg
case_images: PMC11272404_01_CRINM2024-9027198.003.jpg
case_images: fig3
case_images: A reevaluation by MRI requested twelve days after the first MRI imaging revealed LETM in the previous location with some evidence of myelomalacia and no signs of progression (Figure 3).