Journals / İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi / 2013 / Cilt: 3 - Sayı: 2

Erken başlangıçlı akut parsiyel transvers miyelit: Olgu sunumu

Early-onset acute partial transverse myelitis: Case report

Pages
133–137
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The child had eventually a good neurologic outcome by second month of the treatment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Acute partial transverse myelitis is an acute inflammatory process of the spinal cord and it is a rare clinical syndrome.
📊
Key Findings & Data:In this paper, we report a case of 11 month-old girl who developed acute onset monoparesia following a viral respira- tory infection which has not been described in the pediatric age group so far.
💡
Conclusion & Impact:The child had eventually a good neurologic outcome by second month of the treatment.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Acute partial transverse myelitis is an acute inflammatory process of the spinal cord and it is a rare clinical syndrome. Acute partial cord lesions cause unilateral or mar- kedly asymmetric sensory and motor dysfunction. In this paper, we report a case of 11 month-old girl who developed acute onset monoparesia following a viral respira- tory infection which has not been described in the pediatric age group so far. Magnetic resonance imaging of the spinal cord disclosed expansive and high signal-intensity in the left part of the cervical region. A diagnosis of acute partial transverse myelitis was made and patient was treated with IV immunoglobulin and oral prednisolone. The child had eventually a good neurologic outcome by second month of the treatment.

Özet

Akut parsiyel transvers miyelit spinal kordun akut inflamatuar bir durumu olup nadir bir sendromdur. Akut parsiyel kord lezyonları tek taraflı veya belirgin asimet- rik duyusal ve motor disfonksiyona neden olurlar. Bu yazıda, viral solunum yolu enfeksiyonunu takiben akut başlangıçlı monoparezi gelişen 11 aylık bir kız olguyu daha önce pediatrik yaş gurubunda bildirilmemiş olduğundan sunduk. Spinal kanalın manyetik rezonans incelemesinde servikal bölgenin sol parçasında expansif ve yüksek sinyal yoğunluğu saptandı. Akut parsiyel transvers miyelit tanısı konuldu ve hasta iv. immunoglobulin ve oral prednizolon ile tedavi edildi. Çocuk tedavinin ikinci ayında iyi bir nörolojik gelişme gösterdi.

🔖

Cite This Article

HIZARCIOĞLU, M., GÜLEZ, P., ÜNALP, A., GÜLHAN, T., URAN, N. (2013). Erken başlangıçlı akut parsiyel transvers miyelit: Olgu sunumu. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, Cilt: 3 - Sayı: 2, 133–137. https://ajindex.com/articles/214279

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (4)

  1. Growdon JH, Fink JS. Paralysis and movement disorder. In: Isselbacher KJ, Braunwald E, Wilson JD, eds. Harrison’s principles of internal medicine. New York, NY: McGrawHill Book Company, 1994:115-25
  2. Heller L, Keren O, Mendelson L, et al. Transverse myelitis associated with Mycoplasma pneumoniae: case report. Paraplegia 1990;28:522-5. http://dx.doi.org/10.1038/sc.1990.69 PMid:2124669 3. Transverse Myelitis Consortium Working Group. Proposed diagnostic criteria and nosology of acute transverse myelitis. Neurology 2002;59:499-5052. http://dx.doi.org/10.1212/WNL.59.4.499 PMid:12236201 4. Marx A, Glass JD, Sutter RW. Differential diagnosis of acute flaccid paralysis and its role in poliomyelitis surveillance. Epidemiol Rev 2000;22(2):298-316. http://dx.doi.org/10.1093/oxfordjournals.epirev.a018041 PMid:11218380 5. Berman M, Feldman S, Alter M, et al. Acute transvers mye- litis: incidence and etiologic considerations. Neurology 1981;31:966-71. http://dx.doi.org/10.1212/WNL.31.8.966 PMid:7196523 6. Nelson Textbook of Pediatrics: 19th edition. page 2107
  3. Austin SG, Zeels WC. The role of magnetic resonance ima- ging in acute transvers myelitis. Can J Neurol Sci 1992;19:508- 11. PMid:1423048 8. Breningstall GN, Belani KK. Acute transverse myelitis and brainstem encephalitis associated with hepatitis A infection. Pediatr Neurol 1995;12(2):169-71.
  4. Wolf VL, Lupo PJ, Lotze TE. Overview and Differential Diagnosis Pediatric Acute Transverse Myelitis. J Child Neurol 2012;27(11):1426-36. http://dx.doi.org/10.1177/0883073812452916 PMid:22914370 10. Ford B, Tampieri D, Francis G. Long-term follow-up of acute partial transverse myelopathy. Neurology 1992;42:250-52. http://dx.doi.org/10.1212/WNL.42.1.250 PMid:1285728 11. Scott TF, Kassab SL, Singh S. Acute partial transverse mye- litis with normal magnetic resonance imaging: transition rate to clinically definite multiple sclerosis. Mult Scler 2005;11:373-7. http://dx.doi.org/10.1191/1352458505ms1194oa PMid:16042216 12. Fonseca LF, Noce TR, Teixeira ML, Teixeira AL Jr, Lana- Peixoto MA. Early-onset acute transverse myelitis following hepatitis B vaccination and respiratory infection: case report. Arq Neuropsiquiatr 2003;61(2A):265-8. http://dx.doi.org/10.1590/S0004-282X2003000200020 PMid:12806509 13. Dunne K, Hopkins IJ, Shield LK. Acute transvers myelo- pathy in childhood. Dev Med Child Neurol 1986;28:198- 204. http://dx.doi.org/10.1111/j.1469-8749.1986.tb03855.x PMid: