Should a person who has been diagnosed with TM who experiences recurring symptoms or an intensification of existing symptoms be tested for MS?
Recurrent idiopathic transverse myelitis has been reported (Tippett 1991) and does not necessarily mean that there is underlying MS. However, recurrent exacerbations of myelopathy or spinal cord dysfunction should prompt reevaluation. Myelitis due to an underlying autoimmune disease is more likely to recur than idiopathic transverse myelitis. This would include systemic lupus erythematosis, Sjogren’s syndrome, or multiple sclerosis. Relentlessly progressive spinal cord dysfunction should prompt consideration of a spinal cord mass lesion such as tumor or abscess, MS, or a paraneoplastic disorder (immune attacks on the spinal cord related to an underlying cancer). Other neurologic symptoms occurring after the initial spinal cord attack that might suggest multiple sclerosis or another underlying inflammatory central nervous system disease would include visual loss, double vision, trouble with speech or swallowing, vertigo or seizures. In most follow-up studies of people who present with t
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