Acute flaccid myelitis infectious disease should be considered as a cause when patients presented with neurologic symptoms. A subsequent report described 29 cases of enterovirus D68-associated acute flaccid myelitis in Europe in 2016, noting that "these probably represent only the tip of the iceberg." AFM is diagnosed by examining a patient’s nervous system in combination with reviewing images of the spinal cord. A doctor can examine a patient’s nervous system and the places on the body where he or she has weakness, poor muscle tone, and decreased reflexes. In addition, a doctor can do magnetic resonance imaging to look at a patient’s brain
Myelitis In respect to the cause of the process, further work-up would help identify the cause and guide treatment. Full spine MRI is warranted, especially with acute onset myelitis, to evaluate for structural lesions that may require surgical intervention, or disseminated disease. Adding gadolinium further increases diagnostic sensitivity. A brain MRI may be needed to identify the extent of central nervous system (CNS) involvement. Lumbar puncture is important for the diagnosis of acute myelitis when a tumoral process, inflammatory or infectious cause are suspected, or the MRI is normal or non-specific. Complementary blood tests are also of value in establishing a