Transverse Myelitis (Spinal Cord Inflammation)
Description
A neurological disorder caused by severe inflammation of the spinal cord. The condition involves the entire area of the spinal cord preventing the brain from communicating with the body below the level of the inflammation. Symptoms are only experienced below this area while no symptoms above the level are experienced. Symptoms are related to movement and sensory difficulties. The disorder occurs in both adults and children, and typically begins with a rapid development of symptoms over the course of several hours to weeks. The condition can follow a viral infection or result from an autoimmune disease flare-up.
Symptoms
Symptoms may include lower back pain, weakness in the legs and arms, sensory disturbance, spasms leading to gradual paralysis, and bowel or bladder dysfunction.
Tests
A history and physical exam will be performed. Tests to identify the spinal cord inflammation, and isolate the cause of the disorder will be done.
- CBC
- Chem 12
- MRI
Treatment
Treatment includes: intravenous steroids, plasma exchange therapy, pain medications, physical therapy and/or occupational therapy. If the symptoms are severe mechanical ventilation to support respirations may be necessary.
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