TRANSVERSE MYELITIS NOTES( Myeloradiculopathy)

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24yr male with Transverse Myelitis - Case presentation

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Chief complaints:- A 24yr male who is a agricultural labourer came with complaints of Weakness of All limbs ( LL > UL ) , Urinary retention since 3 days. HOPI :- Patient is apparently asymptomatic 3 days back when he woke up at early morning 6am noticed weakness & Numbness in all limbs ( Lower limbs > upper limbs) due to which he is unable to roll or sit or get down the bed by himself so called his father for help. With 2 people support he's able to walk for few metres .He also notice weakness in upper limbs however he is able to do his activities with mild difficult.H/o Lower abdominal fullness and difficulty in passing urine. Pt is able to perceive sensation of bladder stones but unable to pass urine for which he visited a local hospital and got catheterised following which urine drained. H/o fever 2 weeks back , moderate grade lasted for 2days subsided by taking OTC Medication. H/o Tight band like sensation above the level of nipples. H/o constipation from 2days howeve...
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Post partum Hypernatremic Osmotic demyelination, Stress Cardiomyopathiy

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A patient by name ******,23 F, G1P1L1 delivered a female baby by vacuum assisted NVD on 10/7/2024 at private hospital, 20 minutes post delivery she had an Seizure ( GTCS type ) episode managed conservatively, Over next 2 hrs she had two more seizure episodes for which she is referred to Tertiary hospital for further management, There She had one more seizure episode & was unresponsive I/v/o low GCS patient is Intubated and Connected to MV. Patient is evaluated with CT brain which showed ill defined hypodensities along cortical & subcortical white matter of Right parietal lobe a possibility of PRESS to be considered. So Patient is referred to Our Hospital, Neurology Dept for Further management. On arrival her GCS is E1VtM3, PR- 110bpm, BP- 120/80mmhg , Evaluation with MRI brain showed bilateral medial temporal lobe & insular cortex & Thalamic hyperintesnities a possibility of Atypical PRESS or Viral meningitis is considered & Treated accordingly. Her 2decho showed Gl...
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