横脊髓炎1例:罕见的带状疱疹病毒神经系统并发症

Mukhammad Arif Hadi Khoiruddin, Ika Sedar Wasis Sasono
{"title":"横脊髓炎1例:罕见的带状疱疹病毒神经系统并发症","authors":"Mukhammad Arif Hadi Khoiruddin, Ika Sedar Wasis Sasono","doi":"10.19184/ams.v9i1.31481","DOIUrl":null,"url":null,"abstract":"Introduction: Transverse myelitis is a rare disease that accured by incident 0,3%-1% Though it rare happened transverse myelitis deserve to diccus because the variant presentation that make clinical challenge to dianosis to pre-observation for upgrade’s  prognosis. \nCase Report: we reported case of transverse myelitis that was neurology complication to rare herpes zoster virus. Woman 27 years old came by early complaint of tingling fever, pain, shiver continue on foot and the right hand. After got well, patient cameback to her disease bacause of the worst condition that cold not mover her left foot. Diagnosis transverse myelitis could stand through clinical sympton and magnetic resonance imaging (MRI) patient that came by her skin of hipopigment have to always considere the happening of transverse myelitis and lost control of defecate  on neurologi observation being got paraplegi, monoparese extremitas superior, and hipoanesthesia dermatom C5 on low grade. We got observation of MRI to the level cervicothoracal that show long segment hipeintensity introdural intra medullary to the level craniovertebral junction so C5 and T2 so on that involved 2/3 spinal cord that strength described transverse myelitis. \n  \nDiscussion: Varicella zoster virus cou caused neurologis complication, the of transverse myelitis, of it is sign and sympton like pain, sencoric trouble, weakness on arm and foot, and the problem bladder and intestines. This symptom often occured unilaterally , Ipsilateral toward rash then become bilaterally. Intervention should the customize with pattient complaint: The implement combination asiklovir and high close steroid’s inject significantly relieve the pattient complaining but still occured paraplegi. \nKeywords: Transverse myelitis, HZV, neurological complication","PeriodicalId":246242,"journal":{"name":"Journal of Agromedicine and Medical Sciences","volume":"24 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Case Report Of Transverse Myelitis: Rare Neurological Complications Of Herpes Zoster Virus\",\"authors\":\"Mukhammad Arif Hadi Khoiruddin, Ika Sedar Wasis Sasono\",\"doi\":\"10.19184/ams.v9i1.31481\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: Transverse myelitis is a rare disease that accured by incident 0,3%-1% Though it rare happened transverse myelitis deserve to diccus because the variant presentation that make clinical challenge to dianosis to pre-observation for upgrade’s  prognosis. \\nCase Report: we reported case of transverse myelitis that was neurology complication to rare herpes zoster virus. Woman 27 years old came by early complaint of tingling fever, pain, shiver continue on foot and the right hand. After got well, patient cameback to her disease bacause of the worst condition that cold not mover her left foot. Diagnosis transverse myelitis could stand through clinical sympton and magnetic resonance imaging (MRI) patient that came by her skin of hipopigment have to always considere the happening of transverse myelitis and lost control of defecate  on neurologi observation being got paraplegi, monoparese extremitas superior, and hipoanesthesia dermatom C5 on low grade. We got observation of MRI to the level cervicothoracal that show long segment hipeintensity introdural intra medullary to the level craniovertebral junction so C5 and T2 so on that involved 2/3 spinal cord that strength described transverse myelitis. \\n  \\nDiscussion: Varicella zoster virus cou caused neurologis complication, the of transverse myelitis, of it is sign and sympton like pain, sencoric trouble, weakness on arm and foot, and the problem bladder and intestines. This symptom often occured unilaterally , Ipsilateral toward rash then become bilaterally. Intervention should the customize with pattient complaint: The implement combination asiklovir and high close steroid’s inject significantly relieve the pattient complaining but still occured paraplegi. \\nKeywords: Transverse myelitis, HZV, neurological complication\",\"PeriodicalId\":246242,\"journal\":{\"name\":\"Journal of Agromedicine and Medical Sciences\",\"volume\":\"24 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-02-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Agromedicine and Medical Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.19184/ams.v9i1.31481\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Agromedicine and Medical Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.19184/ams.v9i1.31481","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

简介:横贯脊髓炎是一种罕见的疾病,发生率为0.3% -1%,虽然其罕见,但由于临床表现的变异性对疾病的预后提出了挑战,故应予以重视。病例报告:我们报告一例罕见带状疱疹病毒引起的神经系统并发症-横断面脊髓炎。女性27岁,早期主诉有发热刺痛感,疼痛,脚和右手持续颤抖。痊愈后,病人又回到了她的疾病中,因为冷不动她的左脚。横脊髓炎的诊断可以通过临床症状和磁共振成像(MRI)来判断,患者的皮肤有海马色素,神经学观察时要经常考虑横脊髓炎的发生和排便失控,下肢截瘫,四肢单瘫,海马麻醉皮肤C5为低分级。我们观察了颈胸段的核磁共振成像显示了长段高强度的脊髓内髓内到颅椎交界处的水平,所以C5和T2等涉及到2/3的脊髓这种强度描述了横脊髓炎。讨论:水痘带状疱疹病毒引起的神经系统并发症,横贯脊髓炎,其体征和症状如疼痛,感觉障碍,四肢无力,膀胱和肠道问题。此症状常单侧发生,而后由同侧转为双侧皮疹。干预措施应根据患者主诉进行定制:阿昔洛韦联合高封闭类固醇注射可显著缓解患者主诉,但仍发生截瘫。关键词:横贯脊髓炎,HZV,神经系统并发症
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Case Report Of Transverse Myelitis: Rare Neurological Complications Of Herpes Zoster Virus
Introduction: Transverse myelitis is a rare disease that accured by incident 0,3%-1% Though it rare happened transverse myelitis deserve to diccus because the variant presentation that make clinical challenge to dianosis to pre-observation for upgrade’s  prognosis. Case Report: we reported case of transverse myelitis that was neurology complication to rare herpes zoster virus. Woman 27 years old came by early complaint of tingling fever, pain, shiver continue on foot and the right hand. After got well, patient cameback to her disease bacause of the worst condition that cold not mover her left foot. Diagnosis transverse myelitis could stand through clinical sympton and magnetic resonance imaging (MRI) patient that came by her skin of hipopigment have to always considere the happening of transverse myelitis and lost control of defecate  on neurologi observation being got paraplegi, monoparese extremitas superior, and hipoanesthesia dermatom C5 on low grade. We got observation of MRI to the level cervicothoracal that show long segment hipeintensity introdural intra medullary to the level craniovertebral junction so C5 and T2 so on that involved 2/3 spinal cord that strength described transverse myelitis.   Discussion: Varicella zoster virus cou caused neurologis complication, the of transverse myelitis, of it is sign and sympton like pain, sencoric trouble, weakness on arm and foot, and the problem bladder and intestines. This symptom often occured unilaterally , Ipsilateral toward rash then become bilaterally. Intervention should the customize with pattient complaint: The implement combination asiklovir and high close steroid’s inject significantly relieve the pattient complaining but still occured paraplegi. Keywords: Transverse myelitis, HZV, neurological complication
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信