Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 24246
  Title NMO transverse myelitis: A case study [case report]
Journal J Acad Chiropr Orthoped (JACO). 2015 Mar;12(1):Online access only p 7-13
Peer Review Yes
Publication Type Case Report

Objective: The purpose of this case study is to describe a patient presenting to a chiropractic clinic with a rare and deteriorating demyelinating neurological condition.

Summary of Background Data: The patient is a 43 year old Hispanic female presenting with a rash and deteriorating neurological symptoms including: Upper motor neuron (UMN) and lower motor neuron (LMN) signs, claw hand, and progressive unilateral weakness. An MRI of the cervical and thoracic spine suggested a large astrocytoma. Subsequent university hospital neurology center evaluation resulted in a diagnosis of transverse myelitis (TM) secondary to neuromyelitis optica (NMO).

Methods: No chiropractic treatment was rendered. The patient was subsequently airlifted to a university medical center hospital where she was treated.

Results: Following medical treatment with steroids the patient achieved partial recovery with likely permanent sequelae.

Conclusions: It is important for the chiropractic physician and orthopedist to recognize serious neurological conditions that may present to a clinic. Appropriate referral and diagnostic work up are essential to minimize permanent sequelae.

This abstract is reproduced with the permission of the publisher; click on the above link for free full text.


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