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Arch Neurol. 2009 Jul;66(7):894-7. doi: 10.1001/archneurol.2009.66.

Priapism in infantile transverse myelitis.

Author information

1
Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287-5371, USA.

Abstract

BACKGROUND:

Transverse myelitis is an autoimmune neurological disorder of the spinal cord that affects individuals of all age groups, including infants.

OBJECTIVE:

To report priapism as a unique clinical manifestation of infantile transverse myelitis.

DESIGN:

Case series.

SETTING:

Transverse Myelitis Center at Johns Hopkins, Johns Hopkins Hospital, Baltimore, Maryland.

PATIENTS:

Three infants younger than 12 months.

INTERVENTIONS:

Intravenous corticosteroids, intravenous immunoglobulin, physical therapy, and rehabilitation.

MAIN OUTCOME MEASURE:

Clinical outcomes in infants with priapism and transverse myelitis.

RESULTS:

All 3 infants demonstrated rapidly progressive quadriplegia that resulted in substantial disability and proved fatal for 1 infant.

CONCLUSION:

Priapism in infants with transverse myelitis may be an indication of severe inflammation and neural injury that necessitates immediate and aggressive treatment.

PMID:
19597093
DOI:
10.1001/archneurol.2009.66
[Indexed for MEDLINE]
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