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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 22:1004-1008 (5 2001)
© 2001 American Society of Neuroradiology

ARTICLE

An Unusual Spinal Presentation of Whipple Disease

Anna Messori^a, Paolo Di Bella^a, Gabriele Polonara^a, Francesco Logullo^a, Paola Pauri^a, Ramazan Haghighipour^a and Ugo Salvolini^,a

^a From the Departments of Neuroradiology (A.M., G.P., U.S.), Neurology (P.D.B., F.L., R.H.), and Microbiology (P.P.), University of Ancona, Italy.

Summary: 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.

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