Postvaricella Acute Transverse Myelitis: A Case Presentation and Review of the Literature

PEDIATRICS ◽  
1978 ◽  
Vol 62 (2) ◽  
pp. 202-204
Author(s):  
John T. McCarthy ◽  
Jules Amer
Keyword(s):  
Transverse Myelitis ◽  
Sensory Loss ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Mortality And Morbidity ◽  
Acute Transverse Myelitis ◽  
Significant Mortality

Although the complications and sequelae of varicella are rare, they can cause significant mortality and morbidity in both the normal and compromised patient. Eight cases of "pure" acute transverse myelitis (ATM) following varicella have previously been reported in the literature. We report the ninth case of postvaricella ATM in a 9-year-old girl. Her course was characterized by paraplegia, sensory Loss, hvperesthesia, and incontinence of urine and feces. All patients, except ours, recovered fully from ATM.

scholarly journals Case report series: revisiting third and fourth pharyngeal arch anomalies, − are they thymopharyngeal duct remnants?

2020 ◽  
Vol 49 (1) ◽  
Author(s):  
A. O. Kotwica ◽  
J. Rudd ◽  
D. J. Howard
Keyword(s):  
Thyroid Tissue ◽  
Surgical Excision ◽  
Pharyngeal Arch ◽  
Case Presentation ◽  
Mortality And Morbidity ◽  
Neck Infection ◽  
Definitive Surgery ◽  
Recurrent Laryngeal Nerves ◽  
Significant Mortality

Abstract Background Pharyngeal arch anomalies are the second most common form of head and neck congenital defect. The second arch anomalies are the most common, and compromise 95% of cases. Little is known about the 3rd and 4th arch anomalies as they are extremely rare. They most commonly present in childhood with sudden severe left lateral neck infection and abscess formation with considerable tendency to recur, contributing to significant mortality and morbidity in those patients. Case presentation Here we present four cases finally diagnosed as third or fourth pharyngeal arch anomalies, with more than 20 years of follow-up following their definitive surgery. The possibility that they are thymopharyngeal duct remnants is discussed. Conclusion Meticulous open radical surgical excision of all involved paralaryngeal, parapharyngeal and thyroid tissue, with preservation of the superior and recurrent laryngeal nerves, is required for cure of recurrent cases. Graphical abstract

scholarly journals Case Report: Acute Transverse Myelitis

2021 ◽  
Vol 9 (T3) ◽  
pp. 182-185
Author(s):  
Petrus Nilwan Ginting ◽  
Kiking Ritarwan
Keyword(s):  
Spinal Cord ◽  
Motor Neuron ◽  
Transverse Myelitis ◽  
Magnetic Resonance Imaging Examination ◽  
Inflammatory Disorder ◽  
Case Presentation ◽  
Acute Transverse Myelitis ◽  
Sensory Disturbances ◽  
The Right ◽  
Whole Spine

BACKGROUND: Acute transverse myelitis (ATM) could be a pathogenetically heterogeneous inflammatory disorder affecting the spinal cord at one or more segments [1]. CASE PRESENTATION: We report a 69-year-old man presented with complaints of weakness of the arms and legs since 3 weeks before hospital admission. On physical and neurological examination was found Tetraparese, lower motor neuron in the superior limb and upper motor neuron in the inferior limb, sensory disturbances at C6-C7 levels, and autonomic impairment retention of urine and bladder dysfunction. On magnetic resonance imaging examination of the whole spine vertebra, a diffuse process was found in the spinal cord along with the cervical 7 to Th12-L1. Differential diagnosis is with transverse myelitis, multiple sclerosis, and no picture of syringomyelia. The patient was treated with steroids. Acute transverse myelitis is an inflammatory disorder of the spinal cord with various causes. CONCLUSION: Clinical examination and investigations are very important to establish the diagnosis and determine the right management so that the expected outcome is obtained.

scholarly journals Intramedullary parasite eggs, latent for three decades, mimicking acute transverse myelitis

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Hyo-jeong Kim ◽  
Se-Hoon Kim ◽  
Hoi-seon Jeong ◽  
Bum-Joon Kim
Keyword(s):  
Spinal Cord ◽  
Taenia Solium ◽  
Parasitic Infection ◽  
Transverse Myelitis ◽  
Surgical Experience ◽  
Diagnostic Challenge ◽  
Case Presentation ◽  
Acute Transverse Myelitis ◽  
Accurate Treatment ◽  
Brown Sequard Syndrome

Abstract Background Intramedullary parasitic infection is extremely uncommon, and clinical presentation of Brown-Sequard syndrome is even rarer. Case presentation The authors report a case involving a 57-year-old woman with Brown-Sequard syndrome, in whom magnetic resonance imaging and clinical and epidemiological features were similar to those of acute transverse myelitis. Myelotomy suggested inflammation caused by latent parasite eggs in the spinal cord. Antiparasitic and steroid therapies were administered postoperatively. To the author’s knowledge, this is the first report to describe a surgical experience for Taenia solium eggs in the spinal cord. Conclusion Intramedullary parasitic infection is a diagnostic challenge that requires careful discrimination from other diseases. If parasite infection is suspected in a progressively deteriorating patient, myelotomy should be considered for rapid and accurate treatment.

scholarly journals Acute disseminated encephalomyelitis following Campylobacter jejuni gastroenteritis: Case report and review of the literature

2016 ◽  
Vol 30 (1) ◽  
pp. 65-70 ◽  
Author(s):  
Simone Marziali ◽  
Eliseo Picchi ◽  
Francesca Di Giuliano ◽  
Simone Altobelli ◽  
Giorgia Mataluni ◽  
...  
Keyword(s):  
Campylobacter Jejuni ◽  
Clinical Course ◽  
Transverse Myelitis ◽  
Acute Disseminated Encephalomyelitis ◽  
Cross Reactivity ◽  
Review Of The Literature ◽  
Fisher Syndrome ◽  
Acute Transverse Myelitis ◽  
Bickerstaff’S Brainstem Encephalitis ◽  
The Central Nervous System

We describe a case of a 25-year-old male with a diagnosis of acute disseminated encephalomyelitis (ADEM) following infection with Campylobacter jejuni, which is implicated in various human pathologies regarding the central nervous system (CNS) with acute course like Guillain-Barré syndrome (GBS), Miller-Fisher syndrome (MFS), Bickerstaff’s brainstem encephalitis (BEE), acute transverse myelitis (ATM) as well as ADEM. These conditions are caused by cross-reactivity between Campylobacter’s epitopes and cells of the CNS that causes an immunomediated inflammatory demyelination of the CNS. In the acute phase, magnetic resonance (MR) can detect pathologic signal intensity at the CNS with areas of pathologic contrast enhancement at cortical and spinal white matter that normalize over time or can be stable. These findings can be associated with edema in parts of the CNS. The lesions typically appear at different times during the disease course and also can have a different evolution. Our purpose therefore was to describe the clinical course and MR findings of this case and perform a critical review of the literature.

scholarly journals Acute transverse myelitis following scrub typhus: A case report and review of the literature

2018 ◽  
Vol 43 (4) ◽  
pp. 548-551
Author(s):  
Hyun-Seung Ryu ◽  
Bong Ju Moon ◽  
Jae-Young Park ◽  
Sang-Deok Kim ◽  
Seung-Kwon Seo ◽  
...  
Keyword(s):  
Case Report ◽  
Scrub Typhus ◽  
Transverse Myelitis ◽  
Review Of The Literature ◽  
Acute Transverse Myelitis

Acute Transverse Myelitis Related to Mycoplasma pneumonia

2019 ◽  
Vol 18 (03) ◽  
pp. 169-170 ◽  
Author(s):  
Betül Kılıç
Keyword(s):  
Day Treatment ◽  
Acute Infection ◽  
Transverse Myelitis ◽  
Clinical Findings ◽  
Sensory Loss ◽  
Resonance Imaging ◽  
Stool Incontinence ◽  
Acute Transverse Myelitis ◽  
Mycoplasma Pneumonia ◽  
Lumbar Cord

AbstractWe present a case of transverse myelitis caused by Mycoplasma pneumonia. Clinical findings were muscle weakness and decreased deep tendon reflexes of the lower extremities, total sensory loss below T8 level, including loss of superficial cutaneous abdominal reflexes bilaterally, and urinary and stool incontinence. Magnetic resonance imaging revealed segmental edema extending from the cervical to the lumbar cord. Serological criteria were used for the diagnosis of acute infection caused by M. pneumonia. The patient recovered completely after a 15-day treatment of intravenous clarithromycin accompanied by pulsed methylprednisolone. This report emphasizes that myelitis is one of the most severe central nervous system complications related to M. pneumonia infections, and early treatment helps to avoid complications.

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