A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitis

Detalhes bibliográficos
Autor(a) principal: Teixeira, J
Data de Publicação: 2014
Outros Autores: Carvalho, S, Martins, S, Pontes, T, Machado, A, Antunes, H
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.23/744
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.
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spelling A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitisCriançaMielite TransversaParaparesiaIntroduction: 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.Repositório Científico do Hospital de BragaTeixeira, JCarvalho, SMartins, SPontes, TMachado, AAntunes, H2014-11-27T22:54:15Z2014-01-01T00:00:00Z2014-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.23/744engInt J Case Rep Images 2014;5(12):826–830.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-21T09:02:29Zoai:repositorio.hospitaldebraga.pt:10400.23/744Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:55:23.548104Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitis
title A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitis
spellingShingle A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitis
Teixeira, J
Criança
Mielite Transversa
Paraparesia
title_short A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitis
title_full A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitis
title_fullStr A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitis
title_full_unstemmed A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitis
title_sort A case of pediatric paraparesis secondary to an idiopathic acute transverse myelitis
author Teixeira, J
author_facet Teixeira, J
Carvalho, S
Martins, S
Pontes, T
Machado, A
Antunes, H
author_role author
author2 Carvalho, S
Martins, S
Pontes, T
Machado, A
Antunes, H
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Hospital de Braga
dc.contributor.author.fl_str_mv Teixeira, J
Carvalho, S
Martins, S
Pontes, T
Machado, A
Antunes, H
dc.subject.por.fl_str_mv Criança
Mielite Transversa
Paraparesia
topic Criança
Mielite Transversa
Paraparesia
description 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.
publishDate 2014
dc.date.none.fl_str_mv 2014-11-27T22:54:15Z
2014-01-01T00:00:00Z
2014-01-01T00:00:00Z
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.23/744
url http://hdl.handle.net/10400.23/744
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Int J Case Rep Images 2014;5(12):826–830.
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