3.7.13
Acute Transverse Myelitis
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 3, Central Nervous System Conditions.
Clinical Description
- Inflammation of the spinal cord, acute (hours) – subacute (days) onset
- Back pain, flaccid paraplegia, sensory level on the trunk, urinary incontinence
- CSF: Proteins and lymphocytes increased
Treatment
High doses of IV corticosteroids (methylprednisolone, dexamethasone) followed by oral prednisolone for 2-3 weeks, Acyclovir (if VZV or HSV myelitis not excluded)
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