Index to Chiropractic Literature
Index to Chiropractic Literature
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Tuesday, July 27, 2021
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ID 26261
  Title A case report on the delayed diagnosis of transverse myelitis in a 61-year-old male farmer [case report] / [Compte rendu de cas - Diagnostic tardif de myélite transverse chez un agriculteur de 61 ans]
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7500234/?report=classic
Journal J Can Chiropr Assoc. 2020 Aug;64(2):131-138
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Transverse myelitis is a neurological disorder that results in acute focal inflammation of the spinal cord. It can present with a varied spectrum of neurological signs and symptoms which can make diagnosing a challenge, and delayed diagnosis a frequent complication. This is a case of a 61-year-old male who presented with back pain complicated by neurological symptoms that should have warranted immediate referral to a neurologist. It took approximately five weeks from the onset of his symptoms to be referred to a neurologist, and a further four months to the diagnosis of transverse myelitis. The authors hope to stress the importance of thorough evaluations including neurological exams when new symptoms present and to emphasize regular interprofessional collaboration, that may have prevented the delay in diagnosis seen in this case.

Author keywords: collaboration, diagnosis, management, myelitis, myelopathy, neuropathy

Author affiliations: JC: Canadian Memorial Chiropractic College, Toronto, Ontario, Canada; AR: Private Practice

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text. PubMed Record | PDF


La myélite transverse est un trouble neurologique se manifestant par une inflammation focale aiguë de la moelle épinière. Le sujet peut présenter divers signes et symptômes neurologiques qui peuvent rendre le diagnostic difficile. Un diagnostic tardif entraîne de fréquentes complications. Il s’agit d’un homme de 61 ans ayant des dorsalgies et des symptômes neurologiques qui auraient dû justifier son renvoi immédiat à un neurologue. Environ cinq semaines après l’apparition des symptômes se sont écoulées avant le renvoi à un neurologue, et par la suite quatre mois se sont écoulés avant qu’un diagnostic de myélite transverse ne soit établi. Les auteurs de l’étude espèrent souligner l’importance des évaluations poussées, y compris des examens neurologiques lorsque de nouveaux symptômes apparaissent, et l’importance d’une collaboration régulière entre professions, ce qui aurait permis d’éviter le retard de diagnostic dans le cas de ce patient.

Mots-clés de l'auteur: collaboration, diagnostic, gestion, myélite, myélopathie, neuropathie

Ce résumé est reproduit avec l'autorisation de l'éditeur. Cliquez sur le lien ci-dessus pour obtenir l’article gratuitement.


 

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