Infectious Myelopathies

Mayra Montalvo1, Tracey A Cho2

  • 1Department of Neurology, Brown University, Rhode Island Hospital, 222 Richmond Street, Providence, RI 02903, USA.

Neurologic Clinics
|October 28, 2018
PubMed

Insights

Infectious myelopathies, affecting the spinal cord, are increasingly recognized due to global travel. Prompt diagnosis and management of these infections are crucial for improving patient outcomes.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Spinal Cord Medicine

Background:

  • Infectious diseases represent a significant cause of spinal cord dysfunction.
  • Infectious myelopathies are a growing global health concern, influenced by increased travel and migration.
  • Advances in vaccinations, antibiotics, and antiretrovirals impact the prevention and treatment landscape.

Purpose of the Study:

  • To provide a comprehensive review of common infectious agents affecting the spinal cord.
  • To detail the epidemiology, pathophysiology, clinical presentations, and diagnostic strategies for spinal cord infections.
  • To outline current treatment options and prognostic factors for infectious myelopathies.

Main Methods:

  • Systematic review of literature on infectious agents causing myelopathy.
  • Analysis of epidemiological data, pathophysiology, and clinical syndromes associated with spinal cord infections.
  • Inclusion of characteristic spinal imaging findings from representative cases.

Main Results:

  • Identification of the most frequent infectious pathogens impacting the spinal cord.
  • Detailed description of the clinical and diagnostic features for each pathogen.
  • Emphasis on the variability in presentation, treatment, and prognosis based on the causative agent.

Conclusions:

  • Recognizing infectious myelopathies is critical for clinicians.
  • Timely diagnosis and appropriate management significantly improve clinical outcomes.
  • This review serves as a resource for understanding and managing spinal cord infections.