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CSF cytology and HIV serology were both negative. EMG, however, confirmed the clinical findings of polyradiculopathy. T1W and T2W MRI of the lumbar spine demonstrated diffuse thickening of the nerve roots of the cauda equina, which enhanced following intravenous gadolinium administration (Figs. 1 and 2). No parenchymal involvement was seen.
radiculopathy pathology of spinal nerve roots, due to nerve impingement, entrapment, inflammation or trauma; presents as focal pain (i.e. pain at spinal nerve root), referred pain (i.e. pain at a distal site within the dermatome of the affected spinal nerve) and/or pseudoclaudication, with associated sensory and motor neuropathies (see Table 1)