Transverse myelitis

Revisión del 07:13 19 feb 2012 de Jswartz (discusión | contribs.) (Created page with "==Background== *Inflammatory disorder that involves a complete transverse section of the spinal cord **Results from viral infection, postvaccination or as part of MS, SLE, or can...")
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Background

  • Inflammatory disorder that involves a complete transverse section of the spinal cord
    • Results from viral infection, postvaccination or as part of MS, SLE, or cancer
  • May present exactly like a compressive lesion of the spinal cord

Clinical Features

  • May progress over days-weeks
  • Neck or back pain + neuro complaints:
    • Bilateral motor, sensory, and autonomic disturbances
    • Fecal/urinary retention and incontinence

Diagnosis

  • Neurologic findings that are c/w epidural compression but normal MRI

Management

  • Must rule-out compressive lesion of the cord
  • MRI
    • May show cord swelling
  • LP
    • Lymphocytosis, elevated protein
  • Admit for corticosteroids and plasma exchange

Source

  • Tintinalli
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