Myelopathy in Pregnant Women: Case of Acute Transverse Myelitis
Advances in Psychology and Neuroscience
Volume 1, Issue 2, October 2016, Pages: 6-9
Received: Aug. 17, 2016; Accepted: Aug. 27, 2016; Published: Nov. 10, 2016
Views 3294      Downloads 61
Authors
Soumaila Boubacar, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Kamadore Touré, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Djibrilla Ben Adji, Department of Medicine, National Hospital, Niamey, Niger
Ngor Side Ngor, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Youssoufa Maiga, Department of Neurology, Gabriel Touré University Hospital, Bamako, Mali
Lala Bouna Seck, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Moustapha Ndiaye, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Amadou Gallo Diop, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Mouhamadou Mansour Ndiaye, Department of Neurology, Fann National Teaching Hospital, Dakar, Senegal
Article Tools
Follow on us
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.
Keywords
Pregnancy, Acute Myelitis, Tetraplegia, Senegal
To cite this article
Soumaila Boubacar, Kamadore Touré, Djibrilla Ben Adji, Ngor Side Ngor, Youssoufa Maiga, Lala Bouna Seck, Moustapha Ndiaye, Amadou Gallo Diop, Mouhamadou Mansour Ndiaye, Myelopathy in Pregnant Women: Case of Acute Transverse Myelitis, Advances in Psychology and Neuroscience. Vol. 1, No. 2, 2016, pp. 6-9. doi: 10.11648/j.apn.20160102.11
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Albert T, Ravaud JF, Tetrafigap group. Rehabilitation of spinalcord injury in France: a nationwide multicentre study of inci-dence and regional disparities. Spinal Cord 2005; 43: 357—65.
[2]
Bader A. Neurologic and neuromuscular disease. In: Chest-nut DH, editor. Obstetric anaesthesia: principles and practice. Saint Louis, Missouri: Mosby; 2006. p. 872-90.
[3]
Baker ER, Cardenas DD. Pregnancy in spinal cord injured women. Arch Phys Med Rehabil 1996; 77: 501-7.
[4]
Borchers AT, Gershwin ME. Transverse myelitis. Autoimmun Rev 2012; 11: 231–48.
[5]
Castro JS, Lourenc¸o C, Carrilho M. Successful pregnancy in a woman with paraplegia. BMJ Case Rep 2014; 26: 2014.
[6]
Collongues N, Papeix C, Zéphir H, Audoin B, Cotton F, Durand- Dubief F, et al. Nosology and etiologies of acute longitudinally extensive transverse myelitis. RevNeurol (Paris) 2014; 170 (1): 6–12.
[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.
[11]
Pereira L. Obstetric management of the patient with spinal cord injury. Obstet Gynecol Surv 2003; 58: 678-87.
[12]
R. Marignie. Myélopathies inflammatoires. Pratique Neurologique – FMC 2014; 5: 112–120.
[13]
Ramorosata A, Golmard J, Keita-Meyer H. Pathologies neu-rologiques et musculaires: prise en charge en anesthésieobstétricale. In: 52eCongrès national de la Société franc¸aised’anesthésie réanimation; 2010 http://www.sfar.org/.
[14]
Signore C, Spong CY, Krotoski D, Shinowara NL, Blackwell SC. Pregnancy in women with physical disabilities. Obstet Gynecol 2011; 117: 935-47.
[15]
Transverse Myelitis Consortium Working Group. Proposed diagnostic criteria and nosology of acute transverse myelitis. Neuro-logy 2002; 59: 499–505.
[16]
United Nations Department of Economic and Social Affairs, Population Division. World population prospects: the 2012 revision, DVD Edition 2013.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186