Affiliations: Physical Medicine and Rehabilitation Alliance
Department, Baylor COM/University of Texas Medical School at Houston, Houston, TX, USA | The Institute for Rehabilitation, University of Texas
School of Medicine, Houston, TX, USA | Department of Physical Medicine and Rehabilitation at
The University of Texas School of Medicine, Houston, TX, USA
Note: [] Corresponding author: Michael Green, Memorial Hermann
Hospital/The Institute for Rehabilitation and Research at The University of
Texas Health Science Center, 2300 Old Spanish Trail #2128, Houston, TX
77054, USA. Tel.: +1 515 360 6334; E-mail: [email protected]
Abstract: Objectives: Describe the case of an Anterior Cord Syndrome secondary
to transverse myelitis. Anterior Cord Syndrome: Anterior Cord syndrome
(ACS) is characterized by a lesion that affects the anterior two thirds of the
spinal cord while preserving the posterior columns. Transverse Myelitis: Transverse myelitis (TM) is an inflammatory disorder with a heterogeneous
pathogenesis affecting the spinal cord at one or more segments, resulting in
motor, sensory, and autonomic dysfunction in the absence of a preexisting
neurological disease or spinal cord compression. Treatment: The patient
was treated with methylprednisolone, IV Antibiotics, acyclovir, and inpatient
rehabilitation. Rehabilitation: The patient significantly improved her
function throughout inpatient rehabilitation and was discharged after achieving
modified independent level with ambulation and all activities of daily living.
The patient also gained independence with an intermittent catheterization
program and a nightly bowel program, which included suppository and digital
stimulation. Conclusions: This case illustrates the first documented pediatric patient
with a unique case of Anterior Cord Syndrome caused by idiopathic transverse myelitis.
