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An 8-year-old girl presented with a subacute severe spastic paraparesis and loss of bladder control. Over the preceding few months she had had mild occasional pins and needles, perianal anaesthesia and foot drop symptoms. Spinal MRI showed areas of heterogeneous abnormal high T2 signal with apparent cord expansion (figure 1). Gadolinium-enhanced images showed areas of widespread enhancement throughout the intramedullary compartment of the spinal cord particularly mid- and …
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