| 특발성 재발 완화형 척수염 증례 |
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김지아, 박소현, 유일한, 김용성, 안석원 |
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중앙대학교 의과대학 중앙대학교병원 신경과 |
| Idiopathic Relapsing and Remitting Myelitis |
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Jiah Kim, So-Hyun Park, Il-Han Yoo, Yong-Sung Kim, Suk-Won Ahn |
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Department of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea |
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| Abstract |
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"Acute transverse myelitis (ATM) is an acute inflammatory disease of the spinal cord, characterized by rapid onset of bilateral neurological symptoms involving weakness, sensory disturbance, andautonomic impairment over hours or days. Relapsing ATM has been reported in approximately25-33% of patients with ATM. Recently, we treated a patient with 6 episodes of relapsing myelitiswho had not been diagnosed with any specific etiology. A 48-year-old female visited the hospitalwith complaints of leg weakness and numbness in both hands for 4 days. She had no autoimmunedisease, history of infection, or notable family history. Cervical spine MRI showed diffuse T2 highsignal intensity in the spinal cord with enhancement, and she was treated with high doses of intravenousmethylprednisolone. Unexpectedly, she experienced 6 courses of relapsing and remittingacute myelitis despite extensive immunotherapy. The etiology of relapsing myelitis is not certain inthis case. Large clinical studies of disease entity, etiology, and guidelines of immunotreatment forpatients with idiopathic relapsing myelitis are needed. Journal of Multiple Sclerosis 9(2):47-50, 2018" |
| Key Words:
Myelitis transverse, Acute relapsing multiple sclerosis, Multiple sclerosis |
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