Acute Myelopathy in Childhood

Acute myelopathy presenting in childhood can be clinically classified based on the location of injury (with resulting spinal syndrome) or the cause (broadly traumatic or non-traumatic). Types of nontraumatic myelopathy include ischaemic, infectious, inflammatory, nutritional, and metabolic causes, s...

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Main Authors:	Giulia Bravar, Aphra Luchesa Smith, Ata Siddiqui, Ming Lim
Format:	article
Language:	EN
Published:	MDPI AG 2021
Subjects:	myelopathy myelitis demyelination spinal cord injury Pediatrics RJ1-570
Online Access:	https://doaj.org/article/fd8c418706c34faf9ae3467b44a13bb6
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id	oai:doaj.org-article:fd8c418706c34faf9ae3467b44a13bb6
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spelling	oai:doaj.org-article:fd8c418706c34faf9ae3467b44a13bb62021-11-25T17:14:54ZAcute Myelopathy in Childhood10.3390/children81110552227-9067https://doaj.org/article/fd8c418706c34faf9ae3467b44a13bb62021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1055https://doaj.org/toc/2227-9067Acute myelopathy presenting in childhood can be clinically classified based on the location of injury (with resulting spinal syndrome) or the cause (broadly traumatic or non-traumatic). Types of nontraumatic myelopathy include ischaemic, infectious, inflammatory, nutritional, and metabolic causes, some of which may be part of a systemic illness such as systemic lupus erythematosus or a demyelinating disease such as multiple sclerosis. Nonaccidental injury is an important consideration in cases of traumatic myelopathy, which may often be associated with other injuries. Assessment should include neuroimaging of the brain and spinal cord, with further investigations targeted based on the most likely differential diagnoses; for example, a child with suspected demyelinating disease may require specialist cerebrospinal fluid and serological testing. Management also will differ based on the cause of the myelopathy, with several of these treatments more efficacious with earlier initiation, necessitating prompt recognition, diagnosis, and treatment of children presenting with symptoms of a myelopathy. Important components of holistic care may include physiotherapy and occupational therapy, with multidisciplinary team involvement as required (for example psychological support or specialist bowel and bladder teams).Giulia BravarAphra Luchesa SmithAta SiddiquiMing LimMDPI AGarticlemyelopathymyelitisdemyelinationspinal cord injuryPediatricsRJ1-570ENChildren, Vol 8, Iss 1055, p 1055 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	myelopathy myelitis demyelination spinal cord injury Pediatrics RJ1-570
spellingShingle	myelopathy myelitis demyelination spinal cord injury Pediatrics RJ1-570 Giulia Bravar Aphra Luchesa Smith Ata Siddiqui Ming Lim Acute Myelopathy in Childhood
description	Acute myelopathy presenting in childhood can be clinically classified based on the location of injury (with resulting spinal syndrome) or the cause (broadly traumatic or non-traumatic). Types of nontraumatic myelopathy include ischaemic, infectious, inflammatory, nutritional, and metabolic causes, some of which may be part of a systemic illness such as systemic lupus erythematosus or a demyelinating disease such as multiple sclerosis. Nonaccidental injury is an important consideration in cases of traumatic myelopathy, which may often be associated with other injuries. Assessment should include neuroimaging of the brain and spinal cord, with further investigations targeted based on the most likely differential diagnoses; for example, a child with suspected demyelinating disease may require specialist cerebrospinal fluid and serological testing. Management also will differ based on the cause of the myelopathy, with several of these treatments more efficacious with earlier initiation, necessitating prompt recognition, diagnosis, and treatment of children presenting with symptoms of a myelopathy. Important components of holistic care may include physiotherapy and occupational therapy, with multidisciplinary team involvement as required (for example psychological support or specialist bowel and bladder teams).
format	article
author	Giulia Bravar Aphra Luchesa Smith Ata Siddiqui Ming Lim
author_facet	Giulia Bravar Aphra Luchesa Smith Ata Siddiqui Ming Lim
author_sort	Giulia Bravar
title	Acute Myelopathy in Childhood
title_short	Acute Myelopathy in Childhood
title_full	Acute Myelopathy in Childhood
title_fullStr	Acute Myelopathy in Childhood
title_full_unstemmed	Acute Myelopathy in Childhood
title_sort	acute myelopathy in childhood
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/fd8c418706c34faf9ae3467b44a13bb6
work_keys_str_mv	AT giuliabravar acutemyelopathyinchildhood AT aphraluchesasmith acutemyelopathyinchildhood AT atasiddiqui acutemyelopathyinchildhood AT minglim acutemyelopathyinchildhood
_version_	1718412629078179840

Acute Myelopathy in Childhood

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