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Acute Transverse Myelopathy in Children

Published online by Cambridge University Press:  18 September 2015

Coleen Adams  and
Derek Armstrong
Coleen Adams*
Affiliation:
Department of Pediatric Neurology, The Hospital for Sick Children, University of Toronto, Toronto
Derek Armstrong
Affiliation:
Department of Radiology, The Hospital for Sick Children, University of Toronto, Toronto
*
The Children's Hospital, The Health Science Center, 840 Sherbrook Street, Winnipeg, Manitoba R3A 1M4
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Abstract:

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Twenty-three children with acute transverse myelopathy (ATM) are reviewed. Antecedent minor trauma or exercise was reported in 10 patients. Despite a positive history in 7 patients no preceding infection was documented. Two patients had a history of less severe ATM followed by recovery prior to a second more severe episode. The most common initial symptom was back pain and the most prominent clinical signs were weakness, sensory level and sphincter disturbances. Myelography and CT myelography at presentation was performed to exclude a compressive lesion. Spinal cord enlargement was demonstrated in 6 of 21 cases. Magnetic resonance imaging (MRI) of the spinal cord, performed in one patient, showed enlargement of the cord. Poor prognostic features were severity of weakness at the time of maximum deficit and a delayed onset of recovery. Maximum motor recovery occurred at a mean of 6½ months but did not occur in one patient until 1½ years. Normal or good outcome was obtained in 64%.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 17 , Issue 1 , February 1990 , pp. 40 - 45
Copyright
Copyright © Canadian Neurological Sciences Federation 1990

References

REFERENCES

1.Paine, RS, Byers, RK. Transverse myelopathy in childhood. Am J Dis Child 1953; 85: 151–163.Google ScholarPubMed
2.Dunne, K, Hopkins, IJ, Shield, LK. Acute transverse myelopathy in childhood. Dev Med Child Neurol 1986; 28: 198–204.CrossRefGoogle ScholarPubMed
3.Altrocchi, PH. Acute transverse myelopathy. Arch Neurol 1963; 9: 111–119.CrossRefGoogle ScholarPubMed
4.Ropper, AH, Poskanzer, DC. The prognosis of acute and subacute transverse myelopathy based on early signs and symptoms. Ann Neurol 1978;4:51–59.CrossRefGoogle ScholarPubMed
5.Berman, M, Feldman, S, Alter, M, et al. Acute transverse myelitis: Incidence and etiologic considerations. Neurology 1981; 31: 966–971.CrossRefGoogle ScholarPubMed
6.Lipton, HL, Teasdall, RD. Acute transverse myelopathy in adults. Arch Neurol 1973; 28: 252–257.CrossRefGoogle ScholarPubMed
7.Blennow, G, Stark, L. Anterior Spinal Artery Syndrome. Report of seven cases in childhood. Pediatr Neurosci 1987; 13: 32–37.CrossRefGoogle ScholarPubMed
8.Ahmann, PA, Smith, SA, Schwartz, JF, et al. Spinal cord infarction due to minor trauma in children. Neurology 1975; 25: 301–307.CrossRefGoogle ScholarPubMed
9.Warren, RW, Kredich, DW. Transverse myelitis and acute central nervous system manifestations of systemic lupus erythematosus. Arthritis Rheum 1984; 27: 1058–1060.CrossRefGoogle ScholarPubMed
10.Pedersen, C, Bonen, H, Boesen, F. Transverse myelitis in mixed connective tissue disease. Clin Rheumatol 1987; 6: 290–292.CrossRefGoogle ScholarPubMed
11.MacFarlane, PI, Miller, V. Transverse myelitis associated with mycoplasma pneumoniae infection. Arch Dis Child 1984; 59: 80–82.CrossRefGoogle ScholarPubMed
12.Cotter, FE, Bainbridge, D, Newland, AC. Neurological deficit associated with mycoplasma pneumoniae reversed by plasma exchange. Br Med J 1983; 286: 92.CrossRefGoogle ScholarPubMed
13.Silverman, AC. Mumps complicated by a preceding myelitis. Report of a fatal case. N Engl J Med 1949; 241: 262–266.CrossRefGoogle ScholarPubMed
14.Bitzan, M. Rubella myelitis and encephalitis in childhood. A report of two cases with magnetic resonance imaging. Neuropediatrics 1987; 18: 84–87.CrossRefGoogle ScholarPubMed
15.Wiley, CA, VanPatten, PD, Carpenter, DM, et al. Acute ascending necrotizing myelopathy caused by herpes simplex virus type 2. Neurology 1987; 37: 1791–1794.CrossRefGoogle ScholarPubMed
16.Barak, Y, Schwartz, JF. Acute transverse myelitis associated with ECHO Type 5 infection. Am J Dis Child 1988; 142: 8.Google ScholarPubMed
17.Tyler, KL, Gross, RA, Cascino, GD. Unusual viral causes of transverse myelitis: Hepatitis A virus and cytomegalovirus. Neurology 1986; 36: 855–858.CrossRefGoogle ScholarPubMed
18.Foo, D, Rossier, B. Anterior spinal artery syndrome and its natural history. Paraplegia 1983; 21: 1–10.Google ScholarPubMed
19.Puntis, JWL, Green, SH. Ischemic spinal cord injury after cardiac surgery. Arch Dis Child 1985; 517–520.CrossRefGoogle ScholarPubMed
20.Awerbuch, G, Feinberg, WM, Ferry, P, et al. Demonstration of acute post-viral myelitis with magnetic resonance imaging. Pediatr Neurol 1987; 3: 367–369.CrossRefGoogle ScholarPubMed
21.Merine, D, Wang, H, Kumar, AJ, et al. CT myelography and magnetic resonance imaging of acute transverse myelitis. J Comput Assist Tomogr 1987; 11: 606–608.CrossRefGoogle ScholarPubMed