Extensive Longitudinal Myelitis Associated with Systemic Lupus Erythematosus: A case report.

, Ko, Hyun Yoon; , Kwon, Dong Rak; , Jo, Si Chul; , Yang, Jin Hwan

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2003;27(6):1004-1006.

Ko, Hyun Yoon , Kwon, Dong Rak , Jo, Si Chul , Yang, Jin Hwan

Department of Rehabilitation Medicine, Pusan National University College of Medicine, Korea. coolkwon@medimail.co.kr

전신성 홍반성 낭창 환자에서 발생한 광범위 종단성 척수염 1례 －증례 보고－

고현윤, 권동락, 조시철, 양진환

부산대학교 의과대학 재활의학교실

Abstract

Myelopathy is a rare but serious central nervous system complication associated with systemic lupus erythematosus (SLE). Acute transverse myelitis is the most usual involvement of SLE-related myelopathy. We reported a 17-year-old girl who developed a very extensive SLE related transverse myelitis with longitudinal involvement of the spinal cord from C4 to the conus medullaris. There were motor and sensory loss of both lower extremities, and bladder dysfunction over the course of 5 days. She presented T9 paraplegia ASIA A. Her neurological dysfunction was not responded to treatment with methyprednisolone and cyclophosphomide. (J Korean Acad Rehab Med 2003; 27: 1004-1006)

Key Words: Longitudinal myelitis, Systemic lupus erythematosus, Myelopathy