POSTVACCINATION TRANSVERSE MYELITIS IN THE POSTPARTUM PERIOD: CASE REPORT AND LITERATURE REVIEW

Autores

  • Orivaldo Alves Barbosa Cesar Cals General Hospital Unichristus Universitary Center
  • Anna Dorotheia Bezerra de Souza Obstetrics Department, Cesar Cals General Hospital
  • Cristiane Souza Vasconcelos Internal Medicine Department, Cesar Cals General Hospital, Fortaleza, Ceará, Brazil
  • Paola Lima Lemos Neurology, Cesar Cals General Hospital

DOI:

https://doi.org/10.17267/2317-3386bjmhh.v4i4.995

Palavras-chave:

Transverse Myelilis, Postpartum, Vaccines

Resumo

   Transverse myelitis (TM) is a clinical syndrome in which an inflammatory process injures the spinal cord potentially resulting in weakness, sensory abnormalities and autonomic dysfunction. The main causes are post-infectious, post-vaccination, autoimmune and demyelinating diseases. In a literature review based on five cases of TM during pregnancy and puerperal period have been reported. We report a female patient in the immediate postpartum period who presented acute transverse myelites after receiving double viral vaccine (measles and rubella). After exclusion of other causes, patient received methylprednisolone in high doses ( 1000 mg for 3 consecutives days)  and had complete clinical reversal. Thus it is intended to report this rare occurrence which is post-vaccination TM in the postpartum period.

Biografia do Autor

  • Orivaldo Alves Barbosa, Cesar Cals General Hospital Unichristus Universitary Center

    Medicine Professor at Unichristus, Fortaleza, Ceará, Brazil

  • Anna Dorotheia Bezerra de Souza, Obstetrics Department, Cesar Cals General Hospital

    Obstetrics Department, Phisycian at the General Hospital Cesar Cals, Fortaleza, Ceará, Brazil

  • Cristiane Souza Vasconcelos, Internal Medicine Department, Cesar Cals General Hospital, Fortaleza, Ceará, Brazil
    Medicine Undergraduation Student
  • Paola Lima Lemos, Neurology, Cesar Cals General Hospital
    Physician at the General Hospital Cesar Cals, Fortaleza, Ceará, Brazil

Referências

Liu J., Li M., Wang X., Yi H., Xu L., Peng F. Elevated lipid profiles in patients with acute transverse myelitis. Eur Neurol 2016;75:142–8.

Almagro R.M., Tudela M.M.R, Úbeda J.G., Rios M.H.C., Venegas J.J.P., Guijo C.C. Mielitis transversa en síndrome de Sjögren y lupus eritematoso sistémico: presentación de 3 casos. Reumatol Clin. 2015;11(1):41–4.

Dueñas-Garcia O.F.,Diaz-Sotomayor M. Postparto complicado por mielitis transversa. West Indian Med J 2012; 61 (6): 643

Aminoff M.J., Boller F., Swaab D.F. Handbook of clinical neurology. In: Flanagan E.P. Autoimmune myelopathies . Rochester: Elsevier; 2016. 327-51.

Ariztegui N. L., Marín B.M., Montero R.G. Acute transverse myelitis after obstetric epidural anesthesia.Neurologia. 2007;22(10):906-10.

Frohman E.M., Wingerchuk D.M. Transverse myelitis. N Engl J Med 2010; 363:564-72.

Marabani M., Zoma A., Hadley D., Sturrock R.D. Transverse myelitis occurring during pregnancy in a patient with systemic lupus erythematosus. Ann Rheum Dis. 1989;48(2): 160–2.

Walsh P., Grange C., Beale N. Anaesthetic management of an obstetric patient with idiopathic acute transverse myelitis. Int J Obstet Anesth. 2010;19(1):98-101.

Truter P.J., Van der Merwe J.V, Transverse myelitis caused by schistossomiais in pregnancy. S Afr Med J. 1987;71(3):184-5.

Al-Shammri S., Rawoot P., Azizieh F., AbuQoora A., Hanna M., Saminathan T.R., Raghupathy R . Th1/Th2 cytokine patterns and clinical profiles during and after pregnancy in women with multiple sclerosis. J Neurol Sci. 2004;222(1-2):21-7.

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Publicado

2016-12-13

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Seção

Case Reports