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Identifying Transverse Myelitis in the Emergency Care Arena

Identifying Transverse Myelitis in the Emergency Care Arena Transverse myelitis (TM) is a neurological syndrome involving destruction of the anterior and poste- rior (transverse) segments of the spinal cord. The objective of this article is to educate emergency nurses and nurse practitioners about how to recognize, diagnose, and treat TM. A comparison of the neurological findings of TM and Guillain–Barre ´ syndrome is presented. In addition, this article will include an algorithm and specific diagnostic criteria to assist in the diagnosis of acute idiopathic TM. Key words: emergency care, Guillain–Barre ´ syndrome, nurse practitioner, transverse myelitis RANSVERSE MYELITIS (TM) is an un- & Lucchinetti, 2006). On the other hand, common neurological disease in which TM may be identified with CNS and sys- Tthe spinal cord is damaged by destruc- temic inflammatory diseases such as mul- tive inflammatory responses, thereby result- tiple sclerosis, systemic lupus erythemato- ing in temporary or permanent sensory, mo- sus (SLE), Lyme disease, etc. (Krishnan tor, and autonomic deficits (Cree & Winger- et al., 2004). Approximately 60% of TM chuck, 2005). About 4.6 people per million cases are diagnosed as idiopathic. The dis- are diagnosed with TM each year. The dis- ease affects the cervical, thoracic, lumbar, and ease affects infants, children, adults, and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Identifying Transverse Myelitis in the Emergency Care Arena

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Copyright
© 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0b013e3181a2957e
pmid
20118863
Publisher site
See Article on Publisher Site

Abstract

Transverse myelitis (TM) is a neurological syndrome involving destruction of the anterior and poste- rior (transverse) segments of the spinal cord. The objective of this article is to educate emergency nurses and nurse practitioners about how to recognize, diagnose, and treat TM. A comparison of the neurological findings of TM and Guillain–Barre ´ syndrome is presented. In addition, this article will include an algorithm and specific diagnostic criteria to assist in the diagnosis of acute idiopathic TM. Key words: emergency care, Guillain–Barre ´ syndrome, nurse practitioner, transverse myelitis RANSVERSE MYELITIS (TM) is an un- & Lucchinetti, 2006). On the other hand, common neurological disease in which TM may be identified with CNS and sys- Tthe spinal cord is damaged by destruc- temic inflammatory diseases such as mul- tive inflammatory responses, thereby result- tiple sclerosis, systemic lupus erythemato- ing in temporary or permanent sensory, mo- sus (SLE), Lyme disease, etc. (Krishnan tor, and autonomic deficits (Cree & Winger- et al., 2004). Approximately 60% of TM chuck, 2005). About 4.6 people per million cases are diagnosed as idiopathic. The dis- are diagnosed with TM each year. The dis- ease affects the cervical, thoracic, lumbar, and ease affects infants, children, adults, and

Journal

Advanced Emergency Nursing Journal – Wolters Kluwer Health

Published: Apr 1, 2009

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