Document Detail


Pediatric idiopathic transverse myelitis presenting as an anterior cord syndrome: a case report.
MedLine Citation:
PMID:  22543887     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Describe the case of an Anterior Cord Syndrome secondary to transverse myelitis. ANTERIOR CORD SYNDROME: Anterior Cord syndrome (ACS) is characterized by a lesion that affects the anterior two thirds of the spinal cord while preserving the posterior columns. TRANSVERSE MYELITIS: Transverse myelitis (TM) is an inflammatory disorder with a heterogeneous pathogenesis affecting the spinal cord at one or more segments, resulting in motor, sensory, and autonomic dysfunction in the absence of a preexisting neurological disease or spinal cord compression.
TREATMENT: The patient was treated with methylprednisolone, IV Antibiotics, acyclovir, and inpatient rehabilitation.
REHABILITATION: The patient significantly improved her function throughout inpatient rehabilitation and was discharged after achieving modified independent level with ambulation and all activities of daily living. The patient also gained independence with an intermittent catheterization program and a nightly bowel program, which included suppository and digital stimulation.
CONCLUSIONS: This case illustrates the first documented pediatric patient with a unique case of Anterior Cord Syndrome caused by idiopathic transverse myelitis.
Authors:
M Green; J Berliner; J Frontera
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric rehabilitation medicine     Volume:  5     ISSN:  1875-8894     ISO Abbreviation:  J Pediatr Rehabil Med     Publication Date:  2012  
Date Detail:
Created Date:  2012-04-30     Completed Date:  2012-12-27     Revised Date:  2013-07-15    
Medline Journal Info:
Nlm Unique ID:  101490944     Medline TA:  J Pediatr Rehabil Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1-6     Citation Subset:  IM    
Affiliation:
Physical Medicine and Rehabilitation Alliance Department, Baylor COM/University of Texas Medical School at Houston, Houston, TX, USA. mikegreen13@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Acyclovir / administration & dosage
Adolescent
Anti-Bacterial Agents / administration & dosage
Anti-Inflammatory Agents / administration & dosage
Antiviral Agents / administration & dosage
Autonomic Nervous System Diseases* / diagnosis,  etiology,  physiopathology
Diagnosis, Differential
Female
Humans
Magnetic Resonance Imaging
Methylprednisolone / administration & dosage
Motor Neuron Disease* / diagnosis,  etiology,  physiopathology
Myelitis, Transverse* / complications,  diagnosis,  drug therapy,  physiopathology,  rehabilitation
Physical Therapy Modalities*
Rehabilitation Nursing / methods*
Sensation Disorders* / diagnosis,  etiology,  physiopathology
Spinal Cord / pathology
Syndrome
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Anti-Inflammatory Agents; 0/Antiviral Agents; 59277-89-3/Acyclovir; 83-43-2/Methylprednisolone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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