Acute compressive myelopathy mimicking transverse myelitis

2013 ◽  
Vol 333 ◽  
pp. e418-e419
Author(s):  
S.-B. Kwon ◽  
H.-J. Park ◽  
S.-S. Hong ◽  
Y.-K. Minn ◽  
S. Jung ◽  
...  
2010 ◽  
Vol 16 (2) ◽  
pp. 120-122 ◽  
Author(s):  
Brendan J. Kelley ◽  
Bradley J. Erickson ◽  
Brian G. Weinshenker

2020 ◽  
Vol 13 (8) ◽  
pp. e238668 ◽  
Author(s):  
Uddalak Chakraborty ◽  
Atanu Chandra ◽  
Aritra Kumar Ray ◽  
Purbasha Biswas

SARS-CoV-2 has wreaked havoc globally and has claimed innumerable lives all over the world. Apart from the characteristic respiratory illness, this disease has been associated with florid extrapulmonary manifestations and complications. A 59-year-old female healthcare worker presented with features of acute-onset non-compressive myelopathy with a sensory level at T10 segment along with high-grade fever for 4 days. MRI of dorsal spine was suggestive of myelitis at T7 vertebral level. She was initiated on injectable steroids and did show some initial signs of recovery. A day later, she developed an acute-onset respiratory failure but could not be revived despite our best efforts. Her nasopharyngeal and oropharyngeal swab turned out to be positive for SARS-CoV-2 reverse transcriptase polymerase chain reaction (RT-PCR). We hereby report a case of acute transverse myelitis with COVID-19 as a probable aetiology.


2018 ◽  
Vol 26 ◽  
pp. 48-52
Author(s):  
Pijush Kumar Kundu ◽  
M Pervez Amin ◽  
M Munzur Alahi ◽  
Mukul Kumar Sarkar ◽  
M Kafiluddin ◽  
...  

Introduction: Diseases of the spinal cord are called myelopathy. They are frequently devastating. They produce quadriplegia or paraplegia with sensory deficits far beyond the site of damage. Many spinal cord diseases are reversible if recognized and treated at an early stage.Objectives: The aim of this study was to evaluate clinical presentation and aetiology of myelopathy among the patients attending Rajshahi Medical College Hospital with the help of history, clinical examination and investigations.Methodology: This was a cross-sectional type of descriptive study. A total 44 myelopathic patients were evaluated between January 2009 to December 2009.Result: Out of 44 patients, 33 (75%) were male and 11 (25%) were female (ratio 3:1), mean aged 35 ± 13.9 years (range 13-65 years). Among them 24 (54.5%) patients had paraparesis and 20 (45.5%) patients had quadriparesis. It was observed that majority 33 (75%) of them had compressive type and 11 (25%) patients had non-compressive type of involvement. Out of 33 compressive myelopathy, the commonest cause was cervical spondylotic myelopathy 14 (42.4%) in number. 2nd cause was Pott’s disease 8 (24.2%) in number. Syringomyelia was detected in 5 (11.4%) patients, disc herniation was in 2 (6.1%) patients, schwannoma was in 2 (6.1%) patients, lipoma was in 1 (3%) patient and 1 (3%) patient was metastasis to the vertebra. Out of 11 non-compressive myelopathy, acute transverse myelitis was detected in 9 (81.8%) patients and familial spastic paraplegia in 2 (18.2%) patients.Conclusion: All patients with myelopathy should be investigated for potentially treatable causes.TAJ 2013; 26: 48-52


Author(s):  
BIJAYA KUMAR BEHERA ◽  
SUKANTA KUMAR JENA ◽  
NISARG BEHERA

Objective: The present study was conducted with an objective to identify the etiology of non-traumatic myelopathies of both compressive and non-compressive types with the aid of magnetic resonance imaging (MRI). Methods: This retrospective observational cross-sectional study was conducted on 100 patients with a clinical diagnosis of non-traumatic myelopathy belonging to the age group of 15–75 years from August 2018 to July 2020 in the Departments of General Medicine and Radiodiagnosis of MKCG Medical College and Hospital, Berhampur, Odisha. Detailed history, clinical evaluation, laboratory investigations, and findings of MRI spine and brain were compiled. Results were analyzed using descriptive statistics. Results: Among 100 patients of non-traumatic myelopathy, 65 patients presented with compressive myelopathy and 35 patients with non-compressive myelopathy where 56 patients presented with paraparesis and 44 with quadriparesis. Pott’s spine (n=25, 38.46%) and acute transverse myelitis (ATM) (n=24, 68.57%) were the most common etiologies found in compressive and non-compressive groups, respectively. Conclusion: Pott’s Spine, spondylotic myelopathy, and ATM were the most common etiologies of non-traumatic myelopathy. MRI has proven to be the ultimate imaging modality for their etiological evaluation.


PM&R ◽  
2016 ◽  
Vol 8 (9) ◽  
pp. S274
Author(s):  
Brandon Trivax ◽  
Alexandra Paraskos ◽  
Dena Abuelroos ◽  
Aishwarya Navalpakam

2016 ◽  
Vol 47 (S 01) ◽  
Author(s):  
V. Kraus ◽  
C. Makowski ◽  
H. Jünger ◽  
A. Wawer ◽  
P. Strotmann ◽  
...  

2016 ◽  
Vol 36 (03) ◽  
pp. 180-182
Author(s):  
F. Dressler ◽  
H. Hartmann ◽  
E. Bültmann ◽  
N. Schwerk ◽  
A. Thon ◽  
...  

Author(s):  
Deirdre O'Sullivan ◽  
Michael Moore ◽  
Susan Byrne ◽  
Andreas O. Reiff ◽  
Susanna Felsenstein

AbstractAcute disseminated encephalomyelitis in association with extensive longitudinal transverse myelitis is reported in a young child with positive anti-myelin oligodendrocyte glycoprotein (MOG) antibody with heterozygous NLRP3 missense mutations; p.(Arg488Lys) and p.(Ser159Ile). This case may well present an exceptional coincidence, but may describe a yet unrecognized feature of the spectrum of childhood onset cryopyrinopathies that contribute to the understanding of the genetic basis for anti-MOG antibody positive encephalomyelitis. Based on this observation, a larger scale study investigating the role of NLRP3 and other inflammasomes in this entity would provide important pathophysiological insights and potentially novel avenues for treatment.


Sign in / Sign up

Export Citation Format

Share Document