General Medicine, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UK
Stroke and Neurology, James Paget University Hospital NHS Foundation Trust, Great Yarmouth, UK.
BMJ Case Rep. 2021 Jan 27;14(1):e238992. doi: 10.1136/bcr-2020-238992.
An 80-year-old, previously healthy patient presents with acute transverse myelitis with sensory level at T8. The MRI scan of the spinal cord showed longitudinal extensive transverse myelitis, and she tested positive for aquaporin 4 antibodies in serum. She received treatment with intravenous and oral steroids, with no improvement and then underwent plasma exchange. She was then started on azathioprine for prevention of relapses, while continuing physiotherapy and occupational therapy. Eventually, she was transferred to a specialised spinal cord centre for long-term rehabilitation.
一位 80 岁、既往健康的患者因急性横贯性脊髓炎出现 T8 感觉平面。脊髓 MRI 显示长节段横贯性脊髓炎，血清中 aquaporin 4 抗体阳性。她接受了静脉和口服类固醇治疗，但无改善，随后进行了血浆置换。随后开始使用硫唑嘌呤预防复发，同时继续进行物理治疗和职业治疗。最终，她被转至专门的脊髓中心进行长期康复治疗。
