An unusual spinal presentation of Whipple disease.
When Whipple disease (WD) is confined to the CNS, diagnosis may be difficult. We report a case of WD with spinal presentation in an otherwise healthy woman who had a 5-year history of relapsing-remitting cervico-thoracic myelopathy. We suggest that the diagnosis of WD should be considered in the presence of an enlarged and enhancing spinal cord even in the absence of any systemic involvement.
Messori
A
A
Department of Neuroradiology, University of Ancona, via Conca 16, 60020 Ancona, Italy.
Di Bella
P
P
Polonara
G
G
Logullo
F
F
Pauri
P
P
Haghighipour
R
R
Salvolini
U
U
D000368:Aged; D002574:Cervical Vertebrae; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D013118:Spinal Cord Diseases / Q000175:diagnosis / Q000209:etiology*; D013904:Thoracic Vertebrae; D008061:Whipple Disease / Q000150:complications* / Q000175:diagnosis