Study of the Clinical Profile, Management and Follow Up of Patients with Longitudinally Extensive Transverse Myelitis in a Tertiary Care Centre in India
Kumar Abhinav1*, Aldrin Anthony Dung Dung2, Suman Kushwaha3 and Monali Chaturvedi4
1Senior Resident, Institute of Human Behaviour and Allied Sciences (IHBAS), Department of Neurology, New Delhi, India
2Assistant Professor, Institute of Human Behaviour and Allied Sciences (IHBAS), Department of Neurology, New Delhi, India
3H.O.D and Professor, Institute of Human Behaviour and Allied Sciences (IHBAS), Department of Neurology, New Delhi, India
4Assistant Professor, Institute of Human Behaviour and Allied Sciences (IHBAS), Department of Neuroradiology, New Delhi, India
*Corresponding Author: Kumar Abhinav, Senior Resident, Institute of Human Behaviour and Allied Sciences (IHBAS), Department of Neurology, New Delhi, India.
July 20, 2021; Published: September 21, 2021
Objective: To evaluate the clinical profile, response to treatment of different etiologies and prognosis of patients of LETM in Indian population.
Patients and Method: A hospital based prospective study was conducted in Department of Neurology, IHBAS, New Delhi from January 2018 to June 2019.
Total of 40 patients of LETM were stidied in detail and followed up for 6 months.
Result: In our series, NMO was the most common diagnosis constituting 20% of patients. Other common diagnosis were Tubercular Myelitis (17.5%), ATM (Post viral)(17.5%). Most common symptoms were sensory abnormalities followed by bladder/bowel involvement and parapresis. Maximun patients had partial recovery at 6 months (47.5%).
Conclusion: LETM is a heterogeneous diaorder with multiple etiologies. NMO is most common etiology but doesn't constitute majority of patients. So LETM patients should be extensively evaluated to find the correct diagnosis as prognosis depends on that.
Keywords: Transverse Myelitis; LETM; Neuromyelitis Optica; Paraparesis
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