Open AccessLower motor neuron paralysis with extensive cord atrophy in parainfectious acute transverse myelitis
Author(s) -
Sunil Pradhan,
Ajit Kumar
Publication year - 2014
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.138525
Subject(s) - medicine , anterior horn cell , acute transverse myelitis , spinal cord , myelitis , transverse myelitis , paralysis , paraplegia , lower motor neuron , acute disseminated encephalomyelitis , atrophy , upper motor neuron , motor neuron , anatomy , amyotrophic lateral sclerosis , pathology , magnetic resonance imaging , surgery , radiology , disease , psychiatry
We describe a young patient of acute transverse myelitis (ATM) who developed true lower motor neuron (LMN) type flaccid paraplegia as a result of anterior horn cell damage in the region of cord inflammation that extended from conus upwards up to the D4 transverse level. We infer that flaccidity in acute phase of ATM is not always due to spinal shock and may represent true LMN paralysis particularly if the long segment myelits is severe and extending up to last spinal segment.