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Wednesday, May 25, 2016

Transverse Myelitis

emDocs - May 25, 2016 - Author: Bodford I - Edited by: Koyfman A and Alerhand S
Discovery Medicine, Timothy W. West
"Pearls
  • Neurologic symptoms include motor, sensory, and autonomic dysfunction. Sensory symptoms typically involve adermatomal level.
  • Causes are broad including demyelinating conditions, infections, and autoimmune disorders.
  • Rule out life-threatening disorders, including compression of the cord. Order MRI brain and spinal cord with and without contrast. A lumbar puncture must also be obtained.
  • Remember your ABCs! Resuscitate the patient first and foremost.
  • Mainstay of therapy is IV steroids +/- plasmapheresis. Get consultants involved early.
  • Admit the patient for a full workup.
  • Up to one third of transverse myelitis patients will have a recurrence, so if it is in the chart, always keep it on the differential."