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Priapism in infantile transverse myelitis
Edward R Hammond1, Douglas A Kerr
1Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287-5371, USA.
Background:
Transverse myelitis is an autoimmune neurological disorder of the spinal cord that affects individuals of all age groups, including infants.
Objective:
To report priapism as a unique clinical manifestation of infantile transverse myelitis.
Design:
Case series.
Setting:
Transverse Myelitis Center at Johns Hopkins, Johns Hopkins Hospital, Baltimore, Maryland.
Patients:
Three infants younger than 12 months.
Interventions:
Intravenous corticosteroids, intravenous immunoglobulin, physical therapy, and rehabilitation.
Main Outcome Measure:
Clinical outcomes in infants with priapism and transverse myelitis.
Results:
All 3 infants demonstrated rapidly progressive quadriplegia that resulted in substantial disability and proved fatal for 1 infant.
Conclusion:
Priapism in infants with transverse myelitis may be an indication of severe inflammation and neural injury that necessitates immediate and aggressive treatment.
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