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Self‐inflicted oral injury in an infant with transverse myelitis
Author(s) -
Almeida Daniela,
Da Costa Kalini Nóbrega Neres,
De Almeida Lima Castro Rodolfo,
Almeida Marta Lua Pimentel Winz,
Vianna Roberto,
Antonio Andréa Gonçalves
Publication year - 2009
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/j.1754-4505.2009.00102.x
Subject(s) - medicine , acute transverse myelitis , weakness , spinal cord , respiratory distress , anesthesia , sedation , sensory loss , cord , transverse myelitis , surgery , psychiatry
Acute transverse myelitis (ATM) is an inflammatory disorder that affects the spinal cord. It is characterized by signs and symptoms of neurologic dysfunction in the motor and sensory tracts of the spinal cord bilaterally, resulting in weakness, sensory loss, and autonomic dysfunction with acute or subacute onset. We report on a child who had ATM and respiratory distress requiring ventilatory assistance who presented with severe self‐mutilation involving his lips. Other findings included bruxism that had caused mobility of the primary teeth. Comprehensive dental care was carried out under sedation. The management of the lip trauma was achieved by the use of a soft, plastic mouth guard, and corticosteroid ointment.