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Case Report
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| A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitis | ||||||
| Joana Teixeira1, Susana Carvalho2, Sofia Martins2, Teresa Pontes2, Álvaro Machado3, Henedina Antunes4 | ||||||
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1MD, Pediatric Resident, Pediatrics Department, Hospital de Braga, Portugal.
2MD, Pediatric Consultant, Pediatrics Department, Hospital de Braga, Portugal. 3MD, Neurology Consultant, Neurology Department, Hospital de Braga, Portugal. 4MD, PhD, Pediatric Gastroenterology Senior Consultant and Professor of Pediatrics, Pediatrics Gastrenterology, Hepatology and Nutrition Unit, Hospital de Braga and Life and Health Sciences Research Institute (ICVS), Health Sciences School of University of Minho, Associated Laboratory ICVS/3B 's, Braga / Guimarães, Portugal. | ||||||
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| How to cite this article |
| Teixeira J, Carvalho S, Martins S, Pontes T, Machado Á, Antunes H. A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitis. Int J Case Rep Images 2014;5(12):826–830. |
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Abstract
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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. | |
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Keywords:
Transverse myelitis, Retinitis pigmentosa, Paraparesis, Neurogenic urinary bladder
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Author Contributions
Joana Teixeira – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Susana Carvalho – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Sofia Martins – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Teresa Pontes – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Álvaro Machado – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Henedina Antunes – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2014 Joana Teixeira et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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About The Authors
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