Dodson Chance, Gentges Joshua
University of Oklahoma, Department of Emergency Medicine, Tulsa, OK.
J Educ Teach Emerg Med. 2022 Oct 15;7(4):V15-V18. doi: 10.21980/J8B659. eCollection 2022 Oct.
Transverse myelitis (TM) is a rare inflammatory myelopathy presenting as bilateral neurologic deficit localized to the spinal cord. A critical management step in the emergency department (ED) is evaluating for and treating acute reversible causes such as mass lesion or reversible ischemia when present. Described in this case report is TM presenting after a respiratory arrest in suspected opioid overdose. Magnetic resonance imaging (MRI), ideally with contrast, and lumbar puncture are essential diagnostic studies to confirm inflammation. Finally, further diagnostic efforts are aimed at evaluation and treatment for other concurrent illnesses.
Transverse myelitis, transverse myelopathy, hypoxia, opioid overdose, hypoxic spinal cord injury.
横贯性脊髓炎（TM）是一种罕见的炎症性脊髓病，表现为局限于脊髓的双侧神经功能缺损。急诊科（ED）的关键管理步骤是评估并治疗急性可逆性病因，如存在占位性病变或可逆性缺血时。本病例报告描述了疑似阿片类药物过量导致呼吸骤停后出现的横贯性脊髓炎。磁共振成像（MRI）（理想情况下需增强扫描）和腰椎穿刺是确诊炎症的重要诊断性检查。最后，进一步的诊断工作旨在评估和治疗其他并发疾病。
横贯性脊髓炎、横贯性脊髓病、缺氧、阿片类药物过量、缺氧性脊髓损伤。
