Tranverse Myelitis – Causes and Treatment (Depression)

Healthy-best.blogspot.com- Myelitis transverse is inflammation in one segment or one level of the spinal cord, where the damage on both sides and generally occur on the myelin. This sheath function to wrap the nerve fibers and nerve signals can help speed up. The existence of these abnormalities will obviously lead to disorders of the nervous groom throughout the body.

Symptoms Of Myelitis Transversa

Symptoms in myelitis transverse do not arise suddenly. Symptoms usually appear a few hours to a few days since the occurrence of inflammation. Sometimes even new symptoms appear after a few weeks.

Abnormalities occur on parts of the body that is located in the bottom segment of the spinal cord are inflamed. Generally, arise on both sides of the body, but the disorder can only appear on one side of the body.

Symptoms of myelitis transverse among others are:

• Disorders of the bowel and bladder, such as constipation or difficult urination. And perhaps also the opposite, being a frequent micturition or not able to withstand the urinary (urinary incontinence).

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• Sudden Pain on the lower back. The pain could spread to the chest, abdomen, arms or legs, depending on the part of the spinal cord exposed.

• The presence of abnormal sensory sensation, such as burning, cold, tingling, numbness, and very sensitive to the touch of clothing.

• There are also motor disorders, such as weakness in the arms or legs, and paralysis.

• Fever, as well as a decrease in appetite.

Causes Of Myelitis Transversa

The exact cause of myelitis transverse is still unknown, but some suspected conditions can trigger the onset of inflammation of the myelin sheath. Among these are:

• Viral infections, in the respiratory tract or the digestive tract.

• Side effects of vaccination, such as MMR (measles, measles, and mumps, Germany), DT (diphtheria and tetanus for), and hepatitis B.

• Multiple sclerosis. An autoimmune condition in which the immune system attacks the myelin.

Neuromyelitis Optica • (Devic's disease).

This condition occurs in inflammation and loss of myelin layer around the spinal cord and sensory nerve of the eye.

• Autoimmune disorders, such as lupus and Sjogren's syndrome.

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Diagnosis Of Myelitis Transverse

The initial diagnosis is based on symptoms, physical examination, and examination of nerve function. Then conducted an examination of the institution to be able to support the diagnosis, including:

• Scanning, with MRI to find the presence of inflammation of the spinal cord.

• Lumbar Pungi (lumbar puncture), sampling the liquid cerebrospinal (CSF) through the spine for examination by the laboratory.

• Examination of antibodies, for example on autoimmune disorders or Devic disease to another.

Treatment Of Myelitis Transversa

Treatment is aimed at relieving the symptoms felt by the sufferer. Drugs that can be given are:

• Antivirus. If there is a virus infection on the spinal cord.

• Pain relief.

• Steroids.  Help reduce inflammation that occurs in the spine.

• Plasma replacement therapy. Autoimmune disorders are given on the can, where the body's immune cells attack and destroy the body's own tissues.

• Other Medicines. To address another complication, such as constipation, urinary, cramps cannot highlights, depression, and more.

For handling long-term complications, medical rehabilitation therapy can be given, such as:

• Occupational therapy. Teach basic capabilities so that sufferers could get her daily activities normally.

• Psychotherapy. Overcome anxiety, depression, sexual dysfunction, or other psychological disorders.

• Physical therapy. Help improve strength and muscle coordination and working bodies.

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Myelitis Transverse complications If not getting proper handling, myelitis transverse can cause some complications as follows:

• Paralysis

• Sexual dysfunction.

• Muscles become stiff, tight, or pain.

• Anxiety or depression.

References:
Krishnan, c. et. Al. (2004). Transverse Myelitis: Pathogenesis, Diagnosis and Treatment. Front Biosci. 1 (9), pp. 1483-1499.
West, TW. (2013) Transverse Myelitis – A Review of The Presentation, Diagnosis, and Initial Management. Discov Med. 16 (88), pp. 167-177.
Raredisease.org. (2015). Transverse Myelitis.
Mayo Clinic (2017). Diseases and Conditions. Transverse Myelitis.
WebMD (2018). What Is Transverse Myelitis?Transverse Myelitis Pathogenesis Diagnosis and Treatment - Transverse Myelitis Diagnosis and Treatment - Transverse Myelitis Symptoms and Treatment - Transverse Myelitis Radiology - Transverse Myelitis Medscape - Transverse Myelitis Etiology - Transverse Myelitis vs gbs - Transverse Myelitis Treatment - Transverse Myelitis Diagnosis - Transverse Myelitis Treatment Guidelines

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