Effect of selective posterior rhizotomy on transverse myelitis in a patient with systemic lupus erythematosus.
Am J Phys Med Rehabil
; 81(6): 467-8, 2002 Jun.
Article
em En
| MEDLINE
| ID: mdl-12023605
ABSTRACT
This report describes the case of a 26-yr-old man experiencing transverse myelitis, a rare but serious complication of systemic lupus erythematosus occurring in less than 1% of patients with systemic lupus erythematosus, 4 yr after the onset of systemic lupus erythematosus. Significant neurologic deficits, including spastic paraplegia, dysthetic pain, and impaired bladder control, which made him completely bedridden and dependent in activities of daily living, continued, despite his immediate diagnosis and treatment. The patient received bilateral L1 to S1 selective posterior rhizotomy 1 yr after the onset of transverse myelitis, and 10 mo after selective posterior rhizotomy, he was completely independent in ambulation and self-care, demonstrating that selective posterior rhizotomy can be safely performed and its goals achieved under different medical conditions, as long as thorough preoperative evaluation and every possible precaution have been taken.
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Base de dados:
MEDLINE
Assunto principal:
Rizotomia
/
Lúpus Eritematoso Sistêmico
/
Mielite Transversa
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2002
Tipo de documento:
Article