Symptoms of chronic myelitis

summary

Myelitis is a disease caused by infection or toxin invading the spinal cord. The onset is acute, and complete paraplegia can occur within a few hours to 1-2 days. Therefore, timely treatment is very important. Understanding the symptoms of patients with myelitis is helpful for early treatment. So, what are the abnormal manifestations of patients with myelitis? Let's talk about it.

Symptoms of chronic myelitis

Acute transverse or disseminated myelitis and bilateral simultaneous or successive optic neuritis (on) are the characteristic manifestations of the disease. They appear continuously in a short period of time, leading to paraplegia and blindness. The disease progresses rapidly and may have remission recurrence.

The patients with acute onset of optic neuritis have partial or total loss of monocular vision within a few hours or days. Some patients have orbital pain one or two days before the loss of vision. Eye movement or pressing is obvious. Optic disc inflammation or retrobulbar optic neuritis can be seen in the fundus. The symptoms of subacute onset patients reach the peak within 1-2 months, and a few of them have chronic onset. The loss of vision progresses steadily within a few months, Progressive aggravation.

Acute transverse myelitis is an acute progressive inflammatory demyelinating lesion of the spinal cord. It has been confirmed that most of the lesions are Ms manifestations, showing monophasic or chronic polyphasic recurrence. Clinically, disseminated myelitis is common, with asymmetric and incomplete signs, rapid (hours or days) progressive paraplegia, bilateral Babinski sign, trunk sensory disturbance, plane and sphincter dysfunction, Acute myelitis with Lhermitte's syndrome, paroxysmal tonic spasm and radicular pain can be seen in about 1 / 3 of the patients with recurrent type, but it is rarely seen in patients with monophasic course.

matters needing attention

The majority of patients with NOM had monophasic course, 70% of them had paraplegia within a few days, about half of them had total blindness, and a few patients had recurrent course, about 1 / 3 of them had paraplegia. About 1 / 4 of the patients had visual impairment. The interval between clinical events ranged from several months to six months. Isolated on and myelitis recurred repeatedly in the next three years.