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Published on: August 21, 2017
Acute transverse myelitis in children
Syed Asif Masood1, Shahnaz Ibrahim
1Department of Pediatrics, Louisiana State University, Shreveport, USA. asifmasood2@rediffmail.com
Abstract:
A case of Acute Transverse Myelitis (ATM) is presented. ATM is a rare disease in childhood. The diagnosis stems from the clinical presentation, cerebrospinal fluid findings, appearance of the spinal cord on imaging and ruling out differential diagnoses like Guillain-Barre syndrome (GBS) and Poliomyelitis. The proposed treatment is intravenous (IV) methyl prednisolone with variable chances of recovery. A controlled multicenter study is suggested to assess epidemiology, etiology and prognosis of ATM.
Insights
Acute Transverse Myelitis (ATM) is a rare childhood disease. Diagnosis involves clinical, CSF, and imaging data, with treatment including IV methylprednisolone, though recovery varies.
Area of Science:
- Neurology
- Pediatrics
- Immunology
Background:
- Acute Transverse Myelitis (ATM) is a rare neurological disorder affecting the spinal cord.
- Pediatric cases of ATM present diagnostic challenges due to overlapping symptoms with other conditions.
Observation:
- This case report details the diagnostic process for pediatric ATM.
- Diagnostic methods included clinical evaluation, cerebrospinal fluid analysis, and spinal cord imaging.
- Differential diagnoses such as Guillain-Barre syndrome (GBS) and Poliomyelitis were systematically excluded.
Findings:
- The diagnosis of ATM was confirmed through a comprehensive evaluation.
- Intravenous (IV) methylprednisolone was proposed as the treatment strategy.
- Prognosis for recovery in pediatric ATM remains variable.
Implications:
- Highlights the importance of a thorough diagnostic approach for pediatric ATM.
- Suggests the need for further research into the epidemiology, etiology, and prognosis of ATM.
- Emphasizes the potential role of corticosteroids in managing pediatric ATM.
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