Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.23/744
Título: A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitis
Autor: Teixeira, J
Carvalho, S
Martins, S
Pontes, T
Machado, A
Antunes, H
Palavras-chave: Criança
Mielite Transversa
Paraparesia
Data: 2014
Citação: Int J Case Rep Images 2014;5(12):826–830.
Resumo: Introduction: Acute transverse myelitis (ATM) refers to a frequently idiopathic, segmental spinal cord inflammation. It is a rare condition, in particular in children, and not previously reported in a family retinitis pigmentosa (RP) clinical setting. Case Report: An 11-year-old previously healthy girl, with a family history of RP, presented with a subacute flaccid paraparesis, with bilateral, up to the fourth dorsal level, mixed sensory hypoesthesia and autonomic dysfunction. Brain and spinal cord magnetic resonance imaging (MRI) showed an extensive, T2-hyperintense, non-contrast enhancing lesion from the second to fifth dorsal levels. Cerebrospinal fluid (CSF) and lab studies were normal, as the ophthalmologic observation. Treated with high-dose corticosteroids and intensive physical therapy,a significant recovery could be seen. Conclusion:Early pharmacological and physical treatment is fundamental and may indeed change the prognosis of this disease ATM. The family history of RP, although probably incidental, brings nevertheless the issue of a possible etiological contribution, or pathologic common pathways.
Peer review: yes
URI: http://hdl.handle.net/10400.23/744
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