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Transverse Myelitis

Protocols

Clinical Features:
  • Weakness & Loss of sensation
  • Low back Pain & Radiate to Leg
  • Burning Sansation
  • Bladder Incontinence
  • H/O Fever/ Vaccination/ Surgery.

On Examination:
  • BP
  • Pulse:
  • Anaemia:
  • Jaundice:
  • Temp:
  • Planter: Extension (Bilateral)
 Nerves system examination:
  • Higher psychic function test: Intact
  • Cranial Nerve examination with fundoscopy:Intact.
Motor examination:
  • Muscle Tone: Increased lower limb & Normal Upper limb.
  • Muscle Power: Diminished & Normal Upper limb.
Investigation:
  • S. Electrolyte (To exclude Hypokalemia)
  • S. creatinine
  •  RBS
  • ECG
  • LP (CSF Study):Cellular Pleocytosis & Albuminocytological dissociation
  • MRI of Spinal Cord
 Rx: Indoor
  • Diet: Nomal
  • Inf. 5% DNS (1L), IV @ 20 d/min.
(1 vial Mixed with 100ml N/S)..IV @60 d/mim...3 days.
(Pulse therapy)
2. Inj. Sergel([post id="392" title="Esomeprazole"]) 40mg, (1 vial IV ....BD)
3.Supp. Glysup 2.3...1 stick P/R &  sos
  • Continious catheterization
  • Change Posture 2 hourly.
  • Monitoring Vital sign.

 Rx on Discharge:
1.Tab. Cortan 20mg.
  • 2+0+0 (খাবার পর)........7 days then
  • 1s+0+0 (1A1A ).............7 days  then
  • 1+0+0 (খাবার পর)........7 days then
  • 1/2+0+0 (খাবার পর)....7 days 
2. Tab. maxpro([post id="392" title="Esomeprazole"]) 20mg.
1+0+1 (খাবার আগ).......1 month
1+0+1 .....2 months

Advice:
  • নিয়মিত ঔষধ খাবেন।
  • Physiotheraoy