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Acute transverse myelitis: a practical reappraisal
1Department of Neurology, Hospital S. João, Alameda Professor Hernâni Monteiro, Porto, Portugal. mjsa@med.up.pt
Autoimmunity Reviews
|April 25, 2009
Summary
Acute transverse myelitis (ATM) is an inflammatory spinal cord disease causing motor, sensory, and autonomic dysfunction. Early diagnosis and treatment with corticosteroids are vital for recovery.
Area of Science:
- Neurology
- Immunology
- Neuroscience
Background:
- Acute transverse myelitis (ATM) is an inflammatory spinal cord disorder.
- It presents with acute or subacute onset of motor, sensory, and autonomic dysfunction.
- Diagnosis relies on clinical presentation, MRI, and CSF studies, excluding other myelopathies.
Purpose of the Study:
- To summarize the key aspects of idiopathic ATM.
- To highlight diagnostic criteria and treatment strategies.
- To differentiate ATM from other inflammatory myelopathies.
Main Methods:
- Review of established diagnostic criteria for idiopathic ATM.
- Emphasis on clinical manifestations, MRI, and CSF findings.
- Exclusion of differential diagnoses like cord compression and disease-associated ATM.
Main Results:
- Idiopathic ATM is characterized by bilateral spinal cord symptoms and focal inflammation.
- Patients experience rapid progression of neurological deficits.
- Most patients achieve partial or full recovery with timely treatment.
Conclusions:
- Prompt treatment with corticosteroids and symptomatic therapies is crucial for ATM management.
- Emerging biomarkers aid in distinguishing ATM from specific autoimmune conditions like NMO spectrum diseases.
- Accurate diagnosis is essential for effective therapeutic strategies.
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