Annals of Clinical Neurophysiology

  • 제11권2호
  • /
  • Pages.64-66
  • /
  • 2009
  • /
  • 2508-691X(pISSN)
  • /
  • 2508-6960(eISSN)
대한임상신경생리학회 (The Korean Society of Clinical Neurophysiology)
권호 표지

스테로이드 치료에 의해 빠르게 호전된 특발성 급성 종단성 척수염 1예

A Case of Acute Idiopathic Longitudinal Myelitis Showing Rapid Improvement to Steroid Therapy

  • 강성원 (원광대학교 의과대학 산본병원 신경과 인암뇌신경연구센터) ;
  • 정진성 (원광대학교 의과대학 산본병원 신경과 인암뇌신경연구센터) ;
  • 강현구 (원광대학교 의과대학 산본병원 신경과 인암뇌신경연구센터) ;
  • 정주리 (원광대학교 의과대학 산본병원 신경과 인암뇌신경연구센터) ;
  • 김수성 (원광대학교 의과대학 산본병원 신경과 인암뇌신경연구센터) ;
  • 한선정 (원광대학교 의과대학 산본병원 신경과 인암뇌신경연구센터) ;
  • 이성익 (원광대학교 의과대학 산본병원 신경과 인암뇌신경연구센터) ;
  • 양현덕 (원광대학교 의과대학 산본병원 신경과 인암뇌신경연구센터) ;
  • 손일홍 (원광대학교 의과대학 산본병원 신경과 인암뇌신경연구센터)
  • Kang, Sung-Won (Department of Neurology and Inam Neuroscience Research Center, Sanbon Medical Center, Wonkwang University College of Medicine) ;
  • Cheong, Jin-Sung (Department of Neurology and Inam Neuroscience Research Center, Sanbon Medical Center, Wonkwang University College of Medicine) ;
  • Kang, Hyun-Gu (Department of Neurology and Inam Neuroscience Research Center, Sanbon Medical Center, Wonkwang University College of Medicine) ;
  • Jeong, Ju-Li (Department of Neurology and Inam Neuroscience Research Center, Sanbon Medical Center, Wonkwang University College of Medicine) ;
  • Kim, Soo-Sung (Department of Neurology and Inam Neuroscience Research Center, Sanbon Medical Center, Wonkwang University College of Medicine) ;
  • Han, Sun-Jung (Department of Neurology and Inam Neuroscience Research Center, Sanbon Medical Center, Wonkwang University College of Medicine) ;
  • Lee, Sung-Ik (Department of Neurology and Inam Neuroscience Research Center, Sanbon Medical Center, Wonkwang University College of Medicine) ;
  • Yang, Hyun-Duk (Department of Neurology and Inam Neuroscience Research Center, Sanbon Medical Center, Wonkwang University College of Medicine) ;
  • Son, Il-Hong (Department of Neurology and Inam Neuroscience Research Center, Sanbon Medical Center, Wonkwang University College of Medicine)
  • 투고 : 2008.12.31
  • 심사 : 2009.08.13
  • 발행 : 2009.12.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Acute longitudinal myelitis is a group of disorder characterized by multifocal, long-segmented inflammation of the spinal cord, rapidly evolving paraparesis, a sensory level on the trunk, and bilateral Babinski signs. We report a case of 30-year-old man with longitudinal myelitis extending to long segment of spinal cord. After 15 days of aggressive treatment with intravenous pulsed methylprednisolone for 5 days, motor and sensory functions of the lower extremities were almost recovered.

키워드

참고문헌

  1. Ropper AH, Brown RH. Adams and Victor's principle of Neurology, 8th ed. New York: McGraw-Hill. 2005;771-790.
  2. Krishnan AV, Halmagyi GM. Acute transverse myelitis in SLE. Neurology 2004;62:2087. https://doi.org/10.1212/01.WNL.0000123089.25458.90
  3. Rheu CW, Lee SI, Yoo WH. A catastrophic-onset longitudinal myelitis accompanied by bilateral internuclear ophthalmoplegia in a patient with systemic lupus erythematosus. J Korean Med Sci 2005;20:1085-1088. https://doi.org/10.3346/jkms.2005.20.6.1085
  4. Lehnhardt FG, Impekoven P, Rubbert A, Burghaus L, Neveling M, Heiss WD, et al. Recurrent longitudinal myelitis as primary manifestation of SLE. Neurology 2004;63:1976. https://doi.org/10.1212/01.WNL.0000140623.47437.B3
  5. Iwasaki Y, Ikeda K. Idiopathic acute transverse myelitis: application of the recent diagnostic criteria. Neurology 2006;67:728.
  6. Cree BA, Wingerchuk DM. Acute transverse myelitis: is the "idiopathic" form vanishing? Neurology 2005;65:1857-1858. https://doi.org/10.1212/01.wnl.0000194615.51750.f8
  7. Greenberg BM, Thomas KP, Krishnan C, Kaplin AI, Calabresi PA, Kerr DA. Idiopathic transverse myelitis; Corticosteroids, plasma exchange, or cyclophosphamide. Neurology 2007;68:1614-1617. https://doi.org/10.1212/01.wnl.0000260970.63493.c8
  8. Propper DJ, Bucknall RC. Acute transverse myelopathy complicating systemic lupus erythematousus. Ann Rheum Dis 1989;48:512-515 https://doi.org/10.1136/ard.48.6.512
  9. Murray BJ, Apetauerova D, Scammell TE. Severe acute disseminated encephalomyelitis with normal MRI at presentation. Neurology 2000;55:1237-1238. https://doi.org/10.1212/WNL.55.8.1237
  10. Lennon VA, Kryzer TJ, Pittock SJ, Verkman AS, Hinson SR. IgG marker of optic-spinal multiple sclerosis binds to the aquaporin-4 water channel. J Exp Med 2005;202:473-477. https://doi.org/10.1084/jem.20050304