Department of Neurology, Aizawa Hospital, 2-5-1 Honjo, Matsumoto 390-8510, Japan.
J Clin Neurosci. 2013 Dec;20(12):1788-90. doi: 10.1016/j.jocn.2012.09.040. Epub 2013 Jun 18.
We report two patients with idiopathic acute lumbosacral myelitis, a rare form of acute transverse myelitis. Both patients developed urinary retention, moderate motor and sensory paresis of the lower extremities, severe sensory deficit in the anogenital region and reduced deep tendon reflexes. Steroid pulse therapy was initiated within 2 days after onset, and progress of the symptoms stopped immediately after administration in both of our patients. The sequelae of the sensory deficits in the sacral dermatome distribution and urinary retention impaired daily functioning. Immediate immunosuppressive therapy, including high-dose steroid treatment, is important to improve the prognosis of acute lumbosacral transverse myelitis.
我们报告了两例特发性急性腰骶髓炎患者，这是一种罕见的急性横贯性脊髓炎。两名患者均出现尿潴留、下肢中度运动和感觉麻痹、会阴部严重感觉缺失和深腱反射减弱。两名患者在发病后 2 天内开始进行类固醇脉冲治疗，治疗后症状立即停止进展。骶神经节段分布感觉缺失和尿潴留的后遗症影响了日常生活功能。立即进行免疫抑制治疗，包括大剂量类固醇治疗，对改善急性腰骶髓炎的预后非常重要。
