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Acute longitudinal myelitis as the initial manifestation of Sjögren’s syndrome
  1. T Yamamoto,
  2. S Ito,
  3. T Hattori
  1. Department of Neurology, Graduate School of Medicine, Chiba University, Chiba, Japan, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan
  1. Correspondence to:
 Dr S Ito
 Department of Neurology, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan; sito{at}faculty.chiba-u.jp

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A 31 year old woman presented with sudden onset of complete paraplegia, decreased sensation for all areas below T7 spinal levels, and urinary retention. Spinal magnetic resonance imaging (MRI) showed multiple and confluent hyperintensities within the entire spinal cord extending into lower part of the medulla oblongata in T2 weighted images (fig 1). T1 weighted, gadolinium enhanced, images also showed multiple confluent contrast …

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