Pavlik Daniel, Huber Michael, Justice Melissa
Daniel Pavlik is an assistant professor and academic coordinator at Salus University in Elkins Park, Pa., and practices clinically in emergency medicine at Our Lady of Lourdes Medical Center in Camden, N.J., and at Lower Bucks Hospital in Bristol, Pa. Michael Huber is an assistant professor and academic coordinator in the Department of Medical Science and Community Health at Arcadia University in Glenside, Pa., and practices in internal medicine at the Mazzoni Center in Philadelphia, Pa. Melissa Justice is an assistant professor and clinical coordinator in the Department of Medical Science and Community Health at Arcadia University and practices in surgery at Chestnut Hill Hospital in Philadelphia, Pa. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2016 Dec;29(12):38-40. doi: 10.1097/01.JAA.0000508204.02557.9a.
This article describes a young, otherwise healthy woman who presented to the ED with numbness in her feet and was discharged. Twenty-four hours later, she returned because of difficulty walking; in 48 hours she could not walk without assistance. Although Guillain-Barré syndrome was suspected initially, the patient's weakness, sensory loss, and autonomic dysfunction eventually were diagnosed as transverse myelitis, a myelopathy often associated with infectious or autoimmune diseases. The article describes the presentation, diagnostic evaluation and criteria, treatment, and prognosis of transverse myelitis.
本文描述了一位年轻且其他方面健康的女性，她因足部麻木到急诊室就诊后出院。24小时后，她因行走困难返回；48小时后，她在没有帮助的情况下无法行走。尽管最初怀疑是吉兰 - 巴雷综合征，但患者的肌无力、感觉丧失和自主神经功能障碍最终被诊断为横贯性脊髓炎，这是一种常与感染或自身免疫性疾病相关的脊髓病。本文描述了横贯性脊髓炎的临床表现、诊断评估及标准、治疗和预后。
