{
  "abstract": "Longitudinally extensive hemorrhagic myelitis is a rare clinical presentation with a broad differential diagnosis. We report a 20-year-old woman who presented with acute flaccid paraplegia, urinary retention, and a T2 sensory level. Magnetic resonance imaging demonstrated longitudinally extensive intramedullary spinal cord involvement with hemorrhagic features extending from C4 to the conus medullaris. Cerebrospinal fluid showed inflammatory changes and xanthochromia. Aquaporin-4 and myelin oligodendrocyte glycoprotein antibodies, oligoclonal bands, and tumor markers were negative. Further evaluation revealed a circumferential lesion in the second part of the duodenum, with histology confirming adenocarcinoma. No metastatic disease was identified. She received corticosteroids, plasma exchange, and intravenous immunoglobulin, followed by extensive surgical resection of the tumor. Neurological recovery remained poor. In the absence of another clear cause, the clinical and radiological findings raised the possibility of a paraneoplastic inflammatory myelopathy.",
  "abstract_shown": true,
  "affiliations": [
    "Neurology, The National Hospital Kandy, Kandy, LKA."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Izzathunnisa Rahmathullah"
    },
    {
      "affs": [
        0
      ],
      "name": "Janaka Peiris"
    },
    {
      "affs": [
        0
      ],
      "name": "Hemal Hordagoda"
    },
    {
      "affs": [
        0
      ],
      "name": "Srini Godevithanage"
    },
    {
      "affs": [
        0
      ],
      "name": "Nipuna Weerasinghe"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/86cnfj0wjfwxa.bib",
  "cited_by": 0,
  "doi": "10.7759/cureus.116743",
  "fulltext_url": "https://europepmc.org/articles/PMC13688586",
  "id": "86cnfj0wjfwxa",
  "issns": [
    "2168-8184"
  ],
  "landing_url": "https://europepmc.org/article/MED/42923988",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Medical Case Reports and Studies"
    ]
  ],
  "openalex": "W7214023672",
  "pdf_url": "https://europepmc.org/articles/PMC13688586?pdf=render",
  "pmcid": "PMC13688586",
  "pmid": "42923988",
  "published": "2026-09-22",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/86cnfj0wjfwxa.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:02Z",
      "native_id": "MED:42923988",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42923988"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Medical Case Reports and Studies",
      "subfield": "surgery"
    }
  ],
  "title": "Longitudinally Extensive Hemorrhagic Myelitis in a Young Adult With Newly Diagnosed Duodenal Adenocarcinoma.",
  "title_text": "Longitudinally Extensive Hemorrhagic Myelitis in a Young Adult With Newly Diagnosed Duodenal Adenocarcinoma.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:02Z",
  "url": "https://research.draconitic.com/paper/86cnfj0wjfwxa",
  "venue": "Cureus",
  "versions": []
}