Acute Transverse Myelitis with Right Arm Paralysis in a Pediatric Patient: A Rare and Challenging Case Report

Autor: Armand Shehu, Kliti Pilika, Anita Pilika, Aida Bushati, Aferdita Tako, Kristi Aleksi, Ermioni Prifti, Baftjar Hysenaj, Aldo Shpuza
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: International Journal of Biomedicine, Vol 13, Iss 4, Pp 367-370 (2023)
Druh dokumentu: article
ISSN: 2158-0510
2158-0529
DOI: 10.21103/Article13(4)_CR1
Popis: Acute transverse myelitis (ATM) is a rare inflammatory spinal cord disorder with varied clinical manifestations, particularly in the pediatric demographic. This report details the case of a 3-year-old child from Dibra, Albania, admitted with fever and sudden paralysis of the right arm. Initial symptoms included fever, fatigue, and anorexia, leading to total paralysis of the right arm. Laboratory findings highlighted elevated neutrophils at 66.6%. Crucially, an MRI of the spine indicated inflammatory lesions in the cervical region, confirming the diagnosis of ATM. The child underwent a comprehensive treatment regimen, including antibiotics, immunoglobulins, antiviral medications, corticosteroids, and physiotherapy. Post-treatment, while there was a marked improvement in the child's general health and a halt in the progression of the disease, significant motor deficits persisted in the right arm. Despite the severity of ATM and challenges in treatment, early intervention showcased a positive impact on the patient's health, emphasizing the critical nature of prompt diagnosis and treatment in pediatric ATM cases. This case offers insight into the clinical presentation, diagnosis, and management of ATM in young children, shedding light on a rare yet impactful neurological disorder.
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