Annals of Tropical Medicine and Public Health

CASE REPORT
Year
: 2017  |  Volume : 10  |  Issue : 6  |  Page : 1824--1826

Motor axonal neuropathy in sequence with acute transverse myelitis


Smita Nath, Pinkesh Parmar, V Prabhu, Sandeep Garg, Suresh Kumar 
 Departments of Medicine, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India

Correspondence Address:
Smita Nath
Flat No. 1, Ajanta Appartment 36 IP Extension, Patparganj, New  Delhi - 110  092
India

Acute transverse myelitis (ATM) is an upper motor neuron disease of the spinal cord, and its association with peripheral polyneuropathy, particularly the axonal type, is rarely reported. This case presented with features of noncompressive upper motor neuron type of quadriplegia with bladder, bowel and sensory involvement at C4 spinal level. The diagnosis of ATM was confirmed by magnetic resonance imaging scan. The patient responded to high-dose steroids and was discharged. However, after 2 weeks of recovery, the patient again developed acute-onset pure motor flaccid paralysis. Nerve conduction test was diagnostic of pure motor axonal neuropathy. This time she was treated with immunoglobulins after which she improved.


How to cite this article:
Nath S, Parmar P, Prabhu V, Garg S, Kumar S. Motor axonal neuropathy in sequence with acute transverse myelitis.Ann Trop Med Public Health 2017;10:1824-1826


How to cite this URL:
Nath S, Parmar P, Prabhu V, Garg S, Kumar S. Motor axonal neuropathy in sequence with acute transverse myelitis. Ann Trop Med Public Health [serial online] 2017 [cited 2019 Sep 22 ];10:1824-1826
Available from: http://www.atmph.org/article.asp?issn=1755-6783;year=2017;volume=10;issue=6;spage=1824;epage=1826;aulast=Nath;type=0