Open AccessAssociation of dengue with longitudinally extensive transverse myelitis and subarachnoid hemorrhage: An unusual presentation
Author(s) -
Neera Chaudhry,
Nishant Aswani,
Geeta Anjum Khwaja,
Puja Rani
Publication year - 2018
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/aian.aian_40_18
Subject(s) - medicine , transverse myelitis , dengue fever , etiology , subarachnoid hemorrhage , myelitis , acute transverse myelitis , spinal cord , differential diagnosis , weakness , magnetic resonance imaging , pediatrics , pathology , radiology , dermatology , surgery , psychiatry
Association of dengue fever with transverse myelitis is a rare phenomenon; involvement of a long segment is even rarer. We describe a middle-aged female who presented with weakness of bilateral lower limbs and urinary retention 4 days after recovery from dengue fever. She, in addition, had a sensory level up to the level of nipples. Magnetic resonance imaging confirmed the diagnosis of longitudinally extensive transverse myelitis. Besides, the patient had spontaneous subarachnoid hemorrhage (SAH) in the absence of dengue hemorrhagic fever. The patient was started on steroids along with rehabilitation. Our case highlights the extensive involvement of spinal cord in the postinfectious phase of dengue and inclusion of this arboviral disease in the differential diagnoses of myelitis as well as an etiology of SAH.