AI Article Synopsis
- Acute transverse myelitis (ATM) is a localized inflammation of the spinal cord that can cause motor, sensory, and autonomic dysfunction and may arise from various causes, including infections like urinary tract infections (UTIs).
- A case was reported of a 21-year-old male who developed weakness in both legs after a UTI, which improved with treatment and was diagnosed as long segment ATM confirmed by MRI after excluding other causes.
- Patients with ATM, especially those with a family history or subacute symptoms, require close monitoring to manage potential relapses or the development of multiple sclerosis.
Article Abstract
Acute transverse myelitis (ATM) is a non-compressive localized inflammation involving one or more levels of the spinal cord due to various etiologies characterized by motor weakness, sensory impairments, and autonomic dysfunction. It can be idiopathic or primary or secondary due to infection, autoimmune disorder, connective tissue disorder, and uncommonly after vaccination which came to the limelight during the ongoing massive vaccine drive against coronavirus disease 2019 (COVID-19). We report a case of a 21-years-old male who presented with gradually progressive weakness of both lower limbs following urinary tract infection (UTI) with a history of similar illness in the family which improved with high dose methylprednisolone and antibiotic therapy followed by physical rehabilitation. A diagnosis of long segment ATM possibly following UTI was suggested after ruling out other secondary causes and was confirmed by magnetic resonance imaging (MRI) of the spinal cord. Asymmetric symptoms and signs with small lesions involving
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569673 PMC http://dx.doi.org/10.7759/cureus.18509 DOI Listing Publication Analysis
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