Table 2

Myelopathy mimics

Actual site of lesion…Pathological mechanism…
Central nervous system
  • Diffuse UMN disorder (genetic, developmental, degenerative, immunological)

  • Multifocal brain disease (vascular, neoplastic)

  • Unifocal brain lesion (vascular, neoplastic)

Peripheral nervous system
  • Lumbar polyradiculopathy

  • Neuropathy, eg, Guillain-Barré syndrome

  • Metabolic myopathy

Non-neurological
  • Metabolic

  • Endocrine

Functional
  • Conversion disorder

  • UMN, upper motor neurone.