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Figure 1. A 28-year-old woman with a 10-year history of systemic lupus erythematosus presented with fever, back pain, and bilateral paresthesias and weakness of the legs of 10 days' duration. She had been taking prednisone for the preceding nine months for the management of flares. On examination her neck was supple. She had decreased power and sensation in her legs, with diminished knee and ankle reflexes, an extensor right-plantar response, and an equivocal left-plantar response. T1-weighted magnetic resonance imaging after the administration of contrast medium revealed an enhancing lesion within the spinal cord at the T11 level (Panel . . . [Full Text of this Article] |
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