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TitleA case of pediatric paraparesis secondary to an idiopathic acute transverse myelitis
Author(s)Teixeira, Joana
Carvalho, Susana
Martins, Sofia
Pontes, Teresa
Machado, Álvaro
Antunes, Henedina
KeywordsTransverse myelitis
Retinitis pigmentosa
Neurogenic urinary bladder
Issue date2014
JournalInt J Case Rep Images
CitationInt J Case Rep Images 2014;5(12):826–830.
Abstract(s)Introduction: Acute transverse myelitis (ATM) refers to a frequently idiopathic, segmental spinal cord inflammation. It is a rare condition, in particular in children, and not previously reported in a family retinitis pigmentosa (RP) clinical setting. Case Report: An 11-year-old previously healthy girl, with a family history of RP, presented with a subacute flaccid paraparesis, with bilateral, up to the fourth dorsal level, mixed sensory hypoesthesia and autonomic dysfunction. Brain and spinal cord magnetic resonance imaging (MRI) showed an extensive, T2-hyperintense, non-contrast enhancing lesion from the second to fifth dorsal levels. Cerebrospinal fluid (CSF) and lab studies were normal, as the ophthalmologic observation. Treated with high-dose corticosteroids and intensive physical therapy, a significant recovery could be seen. Conclusion: Early pharmacological and physical treatment is fundamental and may indeed change the prognosis of this disease ATM. The family history of RP, although probably incidental, brings nevertheless the issue of a possible etiological contribution, or pathologic common pathways.
Publisher version
AccessOpen access
Appears in Collections:ICVS - Artigos em Revistas Internacionais com Referee

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