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TRANSVERSE MYELOPATHY IN CHILDHOOD

TRANSVERSE MYELOPATHY IN CHILDHOOD CURRENT impressions and present-day pediatric texts generally regard transverse myelopathy as primarily an infectious process, that is to say, as so-called "transverse myelitis." There is considerable evidence, however, that a vascular etiology is actually involved in many, if not the majority of, cases, although in others the correlation with acute infections is too striking to be coincidental. The purpose of the present article is to present 25 cases of transverse myelopathy in childhood, and to consider their implications as to etiology, prognosis, and plan of management. The concept of a vascular basis for transverse myelopathy is actually not a new one; it was emphasized by Bastian1 as early as 1886. Bastian subsequently proposed three possible causes for vascular thrombosis involving the spinal cord, namely, syphilis, arteriosclerosis, and infections (of the central nervous system or elsewhere).2 This type of causation and the absence of leucocytic infiltration microscopically were also http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American journal of diseases of children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1953 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0096-8994
eISSN
1538-3628
DOI
10.1001/archpedi.1953.02050070160004
Publisher site
See Article on Publisher Site

Abstract

CURRENT impressions and present-day pediatric texts generally regard transverse myelopathy as primarily an infectious process, that is to say, as so-called "transverse myelitis." There is considerable evidence, however, that a vascular etiology is actually involved in many, if not the majority of, cases, although in others the correlation with acute infections is too striking to be coincidental. The purpose of the present article is to present 25 cases of transverse myelopathy in childhood, and to consider their implications as to etiology, prognosis, and plan of management. The concept of a vascular basis for transverse myelopathy is actually not a new one; it was emphasized by Bastian1 as early as 1886. Bastian subsequently proposed three possible causes for vascular thrombosis involving the spinal cord, namely, syphilis, arteriosclerosis, and infections (of the central nervous system or elsewhere).2 This type of causation and the absence of leucocytic infiltration microscopically were also

Journal

American journal of diseases of childrenAmerican Medical Association

Published: Feb 1, 1953

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