Efficacy of high dose steroid therapy in children with severe acute transverse myelitis

被引:56
作者
Defresne, P
Meyer, L
Tardieu, M
Scalais, E
Nuttin, C
De Bont, B
Loftus, G
Landrieu, P
Kadhim, H
Sébire, G
机构
[1] Univ Catholique Louvain, Neurol Serv, Dept Pediat, Clin Univ St Luc, B-1200 Brussels, Belgium
[2] ULB, CHU, Brugmann HUDERF, Unite Neuropathol,Serv Anatomopathol, Brussels, Belgium
[3] Univ Paris 11, Hop Bicetre, Dept Pediat, Neurol Serv, Le Kremlin Bicetre, France
[4] Univ Paris 11, Hop Bicetre, INSERM U292, Serv Epidemiol, Le Kremlin Bicetre, France
[5] Clin Esperance, Serv Pediat, Montegnee, Belgium
[6] Ctr Hosp Luxembourg, Serv Pediat, Luxembourg, Luxembourg
[7] Clin Jolimont, Serv Pediat, La Louviere, Belgium
[8] Univ Coll Hosp Galway, Dept Pediat, Galway, Ireland
关键词
steroids; acute transverse myelopathy; encephalomyelitis;
D O I
10.1136/jnnp.71.2.272
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
No effective treatment has been demonstrated for patients with acute transverse myelopathy. In a multicentre controlled study, 12 children with severe acute transverse myelopathy were treated with intravenous methylprednisolone (IVMP) and compared with a historical group of 17 patients. The treatment had a significant effect on the proportion of patients walking independently at I month and on the proportion with full recovery at I year, with no differences in the frequency of complications between the two groups.
引用
收藏
页码:272 / 274
页数:3
相关论文
共 21 条
[1]   AUTOIMMUNE FEATURES OF ACUTE TRANSVERSE MYELOPATHY [J].
ABRAMSKY, O ;
TEITELBAUM, D .
ANNALS OF NEUROLOGY, 1977, 2 (01) :36-40
[2]   Acute transverse myelitis - A localized form of postinfectious encephalomyelitis [J].
AlDeeb, SM ;
Yaqub, BA ;
Bruyn, GW ;
Biary, NM .
BRAIN, 1997, 120 :1115-1122
[3]   A RANDOMIZED, CONTROLLED TRIAL OF CORTICOSTEROIDS IN THE TREATMENT OF ACUTE OPTIC NEURITIS [J].
BECK, RW ;
CLEARY, PA ;
ANDERSON, MM ;
KELTNER, JL ;
SHULTS, WT ;
KAUFMAN, DI ;
BUCKLEY, EG ;
CORBETT, JJ ;
KUPERSMITH, MJ ;
MILLER, NR ;
SAVINO, PJ ;
GUY, JR ;
TROBE, JD ;
MCCRARY, JA ;
SMITH, CH ;
CHROUSOS, GA ;
THOMPSON, HS ;
KATZ, BJ ;
BRODSKY, MC ;
GOODWIN, JA ;
ATWELL, CW .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (09) :581-588
[4]  
BERMAN M, 1981, Neurology, V31, P966
[5]   Spinal cord infarction: Etiology and outcome [J].
Cheshire, WP ;
Santos, CC ;
Massey, W ;
Howard, JF .
NEUROLOGY, 1996, 47 (02) :321-330
[6]  
DUNNE K, 1986, DEV MED CHILD NEUROL, V28, P198
[7]   MULTIPLE-SCLEROSIS IN CHILDHOOD - CLINICAL PROFILE IN 125 PATIENTS [J].
DUQUETTE, P ;
MURRAY, TJ ;
PLEINES, J ;
EBERS, GC ;
SADOVNICK, D ;
WELDON, P ;
WARREN, S ;
PATY, DW ;
UPTON, A ;
HADER, W ;
NELSON, R ;
AUTY, A ;
NEUFELD, B ;
MELTZER, C .
JOURNAL OF PEDIATRICS, 1987, 111 (03) :359-363
[8]   Multiple sclerosis in childhood: Clinical features of 149 cases [J].
Ghezzi, A ;
Deplano, V ;
Faroni, J ;
Grasso, MG ;
Liguori, M ;
Marrosu, G ;
Pozzilli, C ;
Simone, IL ;
Zaffaroni, M .
MULTIPLE SCLEROSIS, 1997, 3 (01) :43-46
[9]   THE USE OF IMMUNOSUPPRESSIVE AGENTS IN THE TREATMENT OF MULTIPLE-SCLEROSIS - A CRITICAL-REVIEW [J].
GOODIN, DS .
NEUROLOGY, 1991, 41 (07) :980-985
[10]   TRANSVERSE MYELITIS - RETROSPECTIVE ANALYSIS OF 33 CASES, WITH DIFFERENTIATION OF CASES ASSOCIATED WITH MULTIPLE-SCLEROSIS AND PARAINFECTIOUS EVENTS [J].
JEFFERY, DR ;
MANDLER, RN ;
DAVIS, LE .
ARCHIVES OF NEUROLOGY, 1993, 50 (05) :532-535