Ann Rehabil Med.  2015 Feb;39(1):142-145. 10.5535/arm.2015.39.1.142.

Concomitant Acute Transverse Myelitis and Sensory Motor Axonal Polyneuropathy in Two Children: Two Case Reports

Affiliations
  • 1Department of Physical and Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea. rmkmo@inha.ac.kr

Abstract

Acute transverse myelitis (ATM) is an upper motor neuron disease of the spinal cord, and concomitant association of peripheral polyneuropathy, particularly the axonal type, is rarely reported in children. Our cases presented with ATM complicated with axonal type polyneuropathy. Axonal type polyneuropathy may be caused by acute motor-sensory axonal neuropathy (AMSAN) or critical illness polyneuropathy and myopathy (CIPNM). These cases emphasize the need for nerve and muscle biopsies to make the differential diagnosis between AMSAN and CIPNM in patients with ATM complicated with axonal polyneuropathy.

Keyword

Acute transverse myelitis; Acute motor-sensory axonal polyneuropathy; Critical illness polyneuropathy; Critical illness myopathy

MeSH Terms

Axons*
Biopsy
Child*
Diagnosis, Differential
Humans
Motor Neuron Disease
Muscular Diseases
Myelitis, Transverse*
Polyneuropathies*
Spinal Cord
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