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body, posterior elements, and soft tissue outlines are visible. Panel B presents another axial section with an arrow marking a bright linear area extending from the spinal canal toward the left paraspinal region. The vertebra, dural sac, and surrounding musculature are outlined. Panel C displays a lower slice with

body, posterior elements, and soft tissue outlines are visible. Panel B presents another axial section with an arrow marking a bright linear area extending from the spinal canal toward the left paraspinal region. The vertebra, dural sac, and surrounding musculature are outlined. Panel C displays a lower slice with

body, posterior elements, and soft tissue outlines are visible. Panel B presents another axial section with an arrow marking a bright linear area extending from the spinal canal toward the left paraspinal region. The vertebra, dural sac, and surrounding musculature are outlined. Panel C displays a lower slice with

body dysmorphology or other features of anorexia nervosa. Other than daily vomiting three to four times per day of undigested food and associated weight loss, there were no other symptoms. Gastroscopy was negative. Neurological examination was normal, including fundoscopy, which was negative for papilledema. Diagnostic Workup Brain MRI showed

water channels in areas with increased permeability of the blood-brain barrier. There may be contrast enhancement with a heterogeneous “cloud-like” Page 270or linear “pencil thin” appearance. When present, spinal lesions classically present as longitudinally extensive transverse myelitis (LETM), spanning three or more vertebral segments. Optic nerve lesions

body dysmorphology or other features of anorexia nervosa. Other than daily vomiting three to four times per day of undigested food and associated weight loss, there were no other symptoms. Gastroscopy was negative. Neurological examination was normal, including fundoscopy, which was negative for papilledema. Diagnostic Workup Brain MRI showed

water channels in areas with increased permeability of the blood-brain barrier. There may be contrast enhancement with a heterogeneous “cloud-like” Page 270or linear “pencil thin” appearance. When present, spinal lesions classically present as longitudinally extensive transverse myelitis (LETM), spanning three or more vertebral segments. Optic nerve lesions

body dysmorphology or other features of anorexia nervosa. Other than daily vomiting three to four times per day of undigested food and associated weight loss, there were no other symptoms. Gastroscopy was negative. Neurological examination was normal, including fundoscopy, which was negative for papilledema. Diagnostic Workup Brain MRI showed

water channels in areas with increased permeability of the blood-brain barrier. There may be contrast enhancement with a heterogeneous “cloud-like” Page 270or linear “pencil thin” appearance. When present, spinal lesions classically present as longitudinally extensive transverse myelitis (LETM), spanning three or more vertebral segments. Optic nerve lesions