Advances in Psychology and Neuroscience

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Myelopathy in Pregnant Women: Case of Acute Transverse Myelitis

Received: Aug. 17, 2016    Accepted: Aug. 27, 2016    Published: Nov. 10, 2016
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Abstract

Acute Transverse myelitis during pregnancy is rare and is life-threatening for parturient women and their pregnancies. We report case of young Senegalese parturient woman. This is a patient old 20 years, 1 pregnancy, 1 parity, with a history of asthma and gestational hypertension, who presented motor deficit of 04 members with progressive installation on twenty days during a pregnancy to term (9 months) from where achieving a scheduled cesarean during labor that allowed the extraction of a girl with no abnormalities. Then the patient was sent to our neurology’s department of Fann Hospital in Dakar where she was hospitalized for suitable care. The diagnosis of acute transverse myelitis was retained on clinical evidence of a spinal interruption syndrome confirmed by paraclinical investigations. The spinal MRI showed extensive hyperintense signal from C4 to C6. An inflammatory syndrome with CRP at 108 mg and a high CSF protein at 2.07 g/l. The patient had received corticosteroids and physical rehabilitation followed by a favorable outcome. The tetraplegia during pregnancy should be investigated myelopathy as acute transverse myelitis. It is therefore necessary that these women have a multidisciplinary care between neurologists and gynecologists to cause showing a better prognosis.

DOI 10.11648/j.apn.20160102.11
Published in Advances in Psychology and Neuroscience ( Volume 1, Issue 2, October 2016 )
Page(s) 6-9
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

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Copyright © The Author(s), 2024. Published by Science Publishing Group

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Keywords

Pregnancy, Acute Myelitis, Tetraplegia, Senegal

References
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[7] H Goller. Pregnancy damage and birth-complications in the children of paraplegic women. Paraplegia (1972) 10, 213
[8] Jorge Santos Castro, Cátia Lourenço, Marcelina Carrilho. Successful pregnancy in a woman with paraplegia BMJ Case Reports 2014; doi: 10.1136/bcr-2013-202479.
[9] Kuczkowski KM. Labor analgesia for the parturient with spinal surgery: what does an obstetrician need to know? Arch Gynecol Obstet 2006; 274: 373-5.
[10] P. Guerbya, F. Vidal a, F. Bayoumeub, O. Parant. Paraplégie et grossesse: à propos d’une série rétrospective continue sur 11 années au CHU de Toulouse. Journal de Gynécologie Obstétrique et Biologie de la Reproduction (2016) 45, 270-277.
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[14] Signore C, Spong CY, Krotoski D, Shinowara NL, Blackwell SC. Pregnancy in women with physical disabilities. Obstet Gynecol 2011; 117: 935-47.
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  • APA Style

    Soumaila Boubacar, Kamadore Touré, Djibrilla Ben Adji, Ngor Side Ngor, Youssoufa Maiga, et al. (2016). Myelopathy in Pregnant Women: Case of Acute Transverse Myelitis. Advances in Psychology and Neuroscience, 1(2), 6-9. https://doi.org/10.11648/j.apn.20160102.11

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    ACS Style

    Soumaila Boubacar; Kamadore Touré; Djibrilla Ben Adji; Ngor Side Ngor; Youssoufa Maiga, et al. Myelopathy in Pregnant Women: Case of Acute Transverse Myelitis. Adv. Psychol. Neurosci. 2016, 1(2), 6-9. doi: 10.11648/j.apn.20160102.11

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    AMA Style

    Soumaila Boubacar, Kamadore Touré, Djibrilla Ben Adji, Ngor Side Ngor, Youssoufa Maiga, et al. Myelopathy in Pregnant Women: Case of Acute Transverse Myelitis. Adv Psychol Neurosci. 2016;1(2):6-9. doi: 10.11648/j.apn.20160102.11

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  • @article{10.11648/j.apn.20160102.11,
      author = {Soumaila Boubacar and Kamadore Touré and Djibrilla Ben Adji and Ngor Side Ngor and Youssoufa Maiga and Lala Bouna Seck and Moustapha Ndiaye and Amadou Gallo Diop and Mouhamadou Mansour Ndiaye},
      title = {Myelopathy in Pregnant Women: Case of Acute  Transverse Myelitis},
      journal = {Advances in Psychology and Neuroscience},
      volume = {1},
      number = {2},
      pages = {6-9},
      doi = {10.11648/j.apn.20160102.11},
      url = {https://doi.org/10.11648/j.apn.20160102.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.apn.20160102.11},
      abstract = {Acute Transverse myelitis during pregnancy is rare and is life-threatening for parturient women and their pregnancies. We report case of young Senegalese parturient woman. This is a patient old 20 years, 1 pregnancy, 1 parity, with a history of asthma and gestational hypertension, who presented motor deficit of 04 members with progressive installation on twenty days during a pregnancy to term (9 months) from where achieving a scheduled cesarean during labor that allowed the extraction of a girl with no abnormalities. Then the patient was sent to our neurology’s department of Fann Hospital in Dakar where she was hospitalized for suitable care. The diagnosis of acute transverse myelitis was retained on clinical evidence of a spinal interruption syndrome confirmed by paraclinical investigations. The spinal MRI showed extensive hyperintense signal from C4 to C6. An inflammatory syndrome with CRP at 108 mg and a high CSF protein at 2.07 g/l. The patient had received corticosteroids and physical rehabilitation followed by a favorable outcome. The tetraplegia during pregnancy should be investigated myelopathy as acute transverse myelitis. It is therefore necessary that these women have a multidisciplinary care between neurologists and gynecologists to cause showing a better prognosis.},
     year = {2016}
    }
    

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    AU  - Kamadore Touré
    AU  - Djibrilla Ben Adji
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    AB  - Acute Transverse myelitis during pregnancy is rare and is life-threatening for parturient women and their pregnancies. We report case of young Senegalese parturient woman. This is a patient old 20 years, 1 pregnancy, 1 parity, with a history of asthma and gestational hypertension, who presented motor deficit of 04 members with progressive installation on twenty days during a pregnancy to term (9 months) from where achieving a scheduled cesarean during labor that allowed the extraction of a girl with no abnormalities. Then the patient was sent to our neurology’s department of Fann Hospital in Dakar where she was hospitalized for suitable care. The diagnosis of acute transverse myelitis was retained on clinical evidence of a spinal interruption syndrome confirmed by paraclinical investigations. The spinal MRI showed extensive hyperintense signal from C4 to C6. An inflammatory syndrome with CRP at 108 mg and a high CSF protein at 2.07 g/l. The patient had received corticosteroids and physical rehabilitation followed by a favorable outcome. The tetraplegia during pregnancy should be investigated myelopathy as acute transverse myelitis. It is therefore necessary that these women have a multidisciplinary care between neurologists and gynecologists to cause showing a better prognosis.
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Author Information
  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Medicine, National Hospital, Niamey, Niger

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Neurology, Gabriel Touré University Hospital, Bamako, Mali

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal

  • Section