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Neurologic abnormalities in children presenting with diskitis.

Moshe Nussinovitch1, Nir Sokolover, Benjamin Volovitz

  • 1Department of Pediatrics "C", Schneider Children's Medical Center of Israel, Sackler School of Medicine, Tel Aviv University, Petach Tikvah, 49202, Israel.

Archives of Pediatrics & Adolescent Medicine
|October 4, 2002
PubMed
Summary

Neurologic impairment, like decreased muscle strength, can be a common sign of diskitis in children. Advanced imaging is crucial when these symptoms appear to rule out spinal involvement.

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Area of Science:

  • Pediatric Infectious Diseases
  • Pediatric Neurology
  • Pediatric Radiology

Background:

  • Neurologic impairment is rarely associated with childhood diskitis in medical literature.
  • Diskitis is typically not recognized as a condition presenting with neurological symptoms in pediatric patients.

Purpose of the Study:

  • To investigate and detail the neurological findings in children diagnosed with diskitis.
  • To understand the implications of these neurological manifestations in pediatric diskitis cases.

Main Methods:

  • Retrospective review of medical records for children diagnosed with diskitis between 1992 and 2000.
  • Diagnosis confirmation based on clinical presentation, laboratory inflammatory markers, and compatible imaging studies.

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Main Results:

  • Neurologic deficits, including decreased muscle strength and hyporeflexia, were observed in 41% (7 of 17) of pediatric patients with diskitis.
  • Magnetic resonance imaging (MRI) in 5 of these patients revealed intraspinal inflammatory involvement in 2 cases.

Conclusions:

  • Neurologic impairment should not preclude a diagnosis of diskitis in children and may represent a frequent clinical feature.
  • The presence of neurological findings in pediatric diskitis necessitates advanced imaging to exclude intraspinal inflammatory processes.