Acute Transverse myelitis during pregnancy is rare and is life-threatening for parturient women and their pregnancies. We report case of young Senegalese parturient woman. This is a patient old 20 years, 1 pregnancy, 1 parity, with a history of asthma and gestational hypertension, who presented motor deficit of 04 members with progressive installation on twenty days during a pregnancy to term (9 months) from where achieving a scheduled cesarean during labor that allowed the extraction of a girl with no abnormalities. Then the patient was sent to our neurology’s department of Fann Hospital in Dakar where she was hospitalized for suitable care. The diagnosis of acute transverse myelitis was retained on clinical evidence of a spinal interruption syndrome confirmed by paraclinical investigations. The spinal MRI showed extensive hyperintense signal from C4 to C6. An inflammatory syndrome with CRP at 108 mg and a high CSF protein at 2.07 g/l. The patient had received corticosteroids and physical rehabilitation followed by a favorable outcome. The tetraplegia during pregnancy should be investigated myelopathy as acute transverse myelitis. It is therefore necessary that these women have a multidisciplinary care between neurologists and gynecologists to cause showing a better prognosis.
Published in | Advances in Psychology and Neuroscience (Volume 1, Issue 2) |
DOI | 10.11648/j.apn.20160102.11 |
Page(s) | 6-9 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Pregnancy, Acute Myelitis, Tetraplegia, Senegal
[1] | Albert T, Ravaud JF, Tetrafigap group. Rehabilitation of spinalcord injury in France: a nationwide multicentre study of inci-dence and regional disparities. Spinal Cord 2005; 43: 357—65. |
[2] | Bader A. Neurologic and neuromuscular disease. In: Chest-nut DH, editor. Obstetric anaesthesia: principles and practice. Saint Louis, Missouri: Mosby; 2006. p. 872-90. |
[3] | Baker ER, Cardenas DD. Pregnancy in spinal cord injured women. Arch Phys Med Rehabil 1996; 77: 501-7. |
[4] | Borchers AT, Gershwin ME. Transverse myelitis. Autoimmun Rev 2012; 11: 231–48. |
[5] | Castro JS, Lourenc¸o C, Carrilho M. Successful pregnancy in a woman with paraplegia. BMJ Case Rep 2014; 26: 2014. |
[6] | Collongues N, Papeix C, Zéphir H, Audoin B, Cotton F, Durand- Dubief F, et al. Nosology and etiologies of acute longitudinally extensive transverse myelitis. RevNeurol (Paris) 2014; 170 (1): 6–12. |
[7] | H Goller. Pregnancy damage and birth-complications in the children of paraplegic women. Paraplegia (1972) 10, 213 |
[8] | Jorge Santos Castro, Cátia Lourenço, Marcelina Carrilho. Successful pregnancy in a woman with paraplegia BMJ Case Reports 2014; doi: 10.1136/bcr-2013-202479. |
[9] | Kuczkowski KM. Labor analgesia for the parturient with spinal surgery: what does an obstetrician need to know? Arch Gynecol Obstet 2006; 274: 373-5. |
[10] | P. Guerbya, F. Vidal a, F. Bayoumeub, O. Parant. Paraplégie et grossesse: à propos d’une série rétrospective continue sur 11 années au CHU de Toulouse. Journal de Gynécologie Obstétrique et Biologie de la Reproduction (2016) 45, 270-277. |
[11] | Pereira L. Obstetric management of the patient with spinal cord injury. Obstet Gynecol Surv 2003; 58: 678-87. |
[12] | R. Marignie. Myélopathies inflammatoires. Pratique Neurologique – FMC 2014; 5: 112–120. |
[13] | Ramorosata A, Golmard J, Keita-Meyer H. Pathologies neu-rologiques et musculaires: prise en charge en anesthésieobstétricale. In: 52eCongrès national de la Société franc¸aised’anesthésie réanimation; 2010 http://www.sfar.org/. |
[14] | Signore C, Spong CY, Krotoski D, Shinowara NL, Blackwell SC. Pregnancy in women with physical disabilities. Obstet Gynecol 2011; 117: 935-47. |
[15] | Transverse Myelitis Consortium Working Group. Proposed diagnostic criteria and nosology of acute transverse myelitis. Neuro-logy 2002; 59: 499–505. |
[16] | United Nations Department of Economic and Social Affairs, Population Division. World population prospects: the 2012 revision, DVD Edition 2013. |
APA Style
Soumaila Boubacar, Kamadore Touré, Djibrilla Ben Adji, Ngor Side Ngor, Youssoufa Maiga, et al. (2016). Myelopathy in Pregnant Women: Case of Acute Transverse Myelitis. Advances in Psychology and Neuroscience, 1(2), 6-9. https://doi.org/10.11648/j.apn.20160102.11
ACS Style
Soumaila Boubacar; Kamadore Touré; Djibrilla Ben Adji; Ngor Side Ngor; Youssoufa Maiga, et al. Myelopathy in Pregnant Women: Case of Acute Transverse Myelitis. Adv. Psychol. Neurosci. 2016, 1(2), 6-9. doi: 10.11648/j.apn.20160102.11
@article{10.11648/j.apn.20160102.11, author = {Soumaila Boubacar and Kamadore Touré and Djibrilla Ben Adji and Ngor Side Ngor and Youssoufa Maiga and Lala Bouna Seck and Moustapha Ndiaye and Amadou Gallo Diop and Mouhamadou Mansour Ndiaye}, title = {Myelopathy in Pregnant Women: Case of Acute Transverse Myelitis}, journal = {Advances in Psychology and Neuroscience}, volume = {1}, number = {2}, pages = {6-9}, doi = {10.11648/j.apn.20160102.11}, url = {https://doi.org/10.11648/j.apn.20160102.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.apn.20160102.11}, abstract = {Acute Transverse myelitis during pregnancy is rare and is life-threatening for parturient women and their pregnancies. We report case of young Senegalese parturient woman. This is a patient old 20 years, 1 pregnancy, 1 parity, with a history of asthma and gestational hypertension, who presented motor deficit of 04 members with progressive installation on twenty days during a pregnancy to term (9 months) from where achieving a scheduled cesarean during labor that allowed the extraction of a girl with no abnormalities. Then the patient was sent to our neurology’s department of Fann Hospital in Dakar where she was hospitalized for suitable care. The diagnosis of acute transverse myelitis was retained on clinical evidence of a spinal interruption syndrome confirmed by paraclinical investigations. The spinal MRI showed extensive hyperintense signal from C4 to C6. An inflammatory syndrome with CRP at 108 mg and a high CSF protein at 2.07 g/l. The patient had received corticosteroids and physical rehabilitation followed by a favorable outcome. The tetraplegia during pregnancy should be investigated myelopathy as acute transverse myelitis. It is therefore necessary that these women have a multidisciplinary care between neurologists and gynecologists to cause showing a better prognosis.}, year = {2016} }
TY - JOUR T1 - Myelopathy in Pregnant Women: Case of Acute Transverse Myelitis AU - Soumaila Boubacar AU - Kamadore Touré AU - Djibrilla Ben Adji AU - Ngor Side Ngor AU - Youssoufa Maiga AU - Lala Bouna Seck AU - Moustapha Ndiaye AU - Amadou Gallo Diop AU - Mouhamadou Mansour Ndiaye Y1 - 2016/11/10 PY - 2016 N1 - https://doi.org/10.11648/j.apn.20160102.11 DO - 10.11648/j.apn.20160102.11 T2 - Advances in Psychology and Neuroscience JF - Advances in Psychology and Neuroscience JO - Advances in Psychology and Neuroscience SP - 6 EP - 9 PB - Science Publishing Group UR - https://doi.org/10.11648/j.apn.20160102.11 AB - Acute Transverse myelitis during pregnancy is rare and is life-threatening for parturient women and their pregnancies. We report case of young Senegalese parturient woman. This is a patient old 20 years, 1 pregnancy, 1 parity, with a history of asthma and gestational hypertension, who presented motor deficit of 04 members with progressive installation on twenty days during a pregnancy to term (9 months) from where achieving a scheduled cesarean during labor that allowed the extraction of a girl with no abnormalities. Then the patient was sent to our neurology’s department of Fann Hospital in Dakar where she was hospitalized for suitable care. The diagnosis of acute transverse myelitis was retained on clinical evidence of a spinal interruption syndrome confirmed by paraclinical investigations. The spinal MRI showed extensive hyperintense signal from C4 to C6. An inflammatory syndrome with CRP at 108 mg and a high CSF protein at 2.07 g/l. The patient had received corticosteroids and physical rehabilitation followed by a favorable outcome. The tetraplegia during pregnancy should be investigated myelopathy as acute transverse myelitis. It is therefore necessary that these women have a multidisciplinary care between neurologists and gynecologists to cause showing a better prognosis. VL - 1 IS - 2 ER -