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» LymeNet Flash » Questions and Discussion » Medical Questions » Acute Transverse Myelitis.

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Author Topic: Acute Transverse Myelitis.
LostCityAgent
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Friends,
I was just thinking to remind you that LD can cause an ACUTE TRANSVERSE MYELITIS. This is how my situation was uncovered.
You may want to visit myelitis.org and have a look see at the situation. This is very important for all of us to know. It seems that ATM is the usual route for this problem turning neurological.

Jmcc.

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tickitout
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I checked out that site and all I can say is "WOW". There is so much info. I can relate to and found it very interesting.

What I read really hit home. I also checked out some of the messages from people.

I need to ask my dr. about this. I was diagnosed with lyme myelitis but never questioned what it was.

You know when there are so many systems involved you tend to overlook things because there is just so much you can deal with at one time.

Thanks for the info.

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pq
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LCA,
thanks for addressing this.

this is one topic i don't recall being addressed, if at all.

http://www.mucos.de did a study on myelitis, utilizing one, or more kinds of multi-enzyme formulations for this, with at least very good to excellent results.

[ 21. May 2006, 03:04 AM: Message edited by: pq ]

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LostCityAgent
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Yes it is extremely important since it can debilitate you for the rest of your life.
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snowflake
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I remembered someone else here asking about this in the past. Here is the thread...

http://flash.lymenet.org/ubb/ultimatebb.php?ubb=get_topic;f=1;t=042522#000000

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We have only this moment, sparkling like a star in our hand... and melting like a snowflake. Let us use it before it is too late.

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lou
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In the hopkins article at the website www.myelitis.org they exclude infectious causes from the group they are studying as TM, and call those infectious myelitis instead. I wonder what the differences in presentation would be? Guess I will have to read the whole long article some time looking for the answer.
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treepatrol
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t what there exclusion criteria are.

How do they exclude lyme??

Table 2. TM Diagnostic Criteria
Inclusion criteria

1. Development of sensory, motor or autonomic dysfunction attributable to the spinal cord
2. Bilateral signs and/or symptoms
3. Clearly-defined sensory level
4. Inflammation within the spinal cord demonstrated by CSF pleocytosis or elevated IgG index or gadolinium
enhancement {If none of the inflammatory criteria is met at symptom onset, repeat MRI and LP evaluation between
2-7 days following symptom onset}


Exclusion criteria
1. History of previous radiation to the spine within the past 10 years
2. Clear arterial distribution clinical deficit consistent with thrombosis of the anterior spinal artery
3. Extra-axial compressive etiology by neuroimaging {MRI of spine preferred. CT myelography acceptable. X-ray, CT
of spine are not adequate}
4. Abnormal flow voids on the surface of the spinal cord c/w AVM
5. Serologic or clinical evidence of connective tissue disease {sarcoidosis, Behcet's disease, Sjogren's syndrome, SLE,
mixed connective tissue disorder etc} {Diagnostic of Connective-Tissue Associated TM}

6. History of clinically apparent optic neuritis {Diagnostic of Neuromyelitis optica}
7. CNS manifestations of syphilis, Lyme disease, HIV, HTLV-1, mycoplasma, other viral infection {e.g. HSV-1, HSV-
2, VZV, EBV, CMV, HHV-6, enteroviruses} {Diagnostic of Infectious myelitis }

8. Progression to nadir in less than 4 hours from symptom onset
9. Symptom progression continues beyond 21 days from symptom onset
10. Brain and spinal cord MRI abnormalities suggestive of MS and presence of oligoclonal bands in CSF {Suggestive of
TM associated with MS. Apply McDonald criteria to definitively define MS}
AVM= arteriovenous malformation; SLE= systemic lupus erythematosus; HTLV-1= human T-cell lymphotropic virus-1; HSV=
herpes simplex virus; VZV= varicella zoster virus; EBV=Epstein-Barr virus; CMV= cytomegalovirus; HHV= human herpes



Heres there excusion technics:

Detection of lyme disease of the CNS typically is
based on antibody detection methods {ELISA with
confirmatory western blot} and the CSF/serum index is often
helpful in determining whether there is true neuroborreliosis

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Do unto others as you would have them do unto you.
Remember Iam not a Doctor Just someone struggling like you with Tick Borne Diseases.

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treepatrol
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History of acute transverse myelitis
Several cases of `acute myelitis' were described in 1882,
and pathological analysis revealed that some were caused
by vascular lesions and others by acute in�ammation
{1,2}. In 1922 and 1923, physicians in England and
Holland became aware of a rare complication of smallpox
vaccination: inflammation of the spinal cord and brain
{3}. Given the term `post-vaccinal encephalomyelitis',
over 200 cases were reported in those 2 years alone.
Pathological analyses of fatal cases revealed in�ammatory
cells and demyelination. In 1928, it was first
postulated that many cases of acute myelitis are `postinfectious
rather than infectious in cause' because for
many patients the `fever had fallen and the rash had
begun to fade'
{{ah ever present the rash interesting}}} when the myelitis symptoms began {4}. It
was proposed, therefore, that the myelitis was an
`allergic' response to a virus rather than the virus itself
that caused the spinal cord damage. It was in 1948 that
the term `acute transverse myelitis' was utilized in
reporting a case of fulminant inflammatory myelopathy
complicating pneumonia {5}.
From 4th Artical:

http://www.myelitis.org/Immunopathogenesis%20paper.pdf

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Do unto others as you would have them do unto you.
Remember Iam not a Doctor Just someone struggling like you with Tick Borne Diseases.

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Sparky
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Meningo-encephalomyelitis (sp.?) is associated with Lyme Disease, right? It took over a year for me to figure that out by reading medical journal citations here on LymeNet, then found out it's written of in 'Lyme Disease--Everything you Wanted to Know...' by Karen Forschner.

So would that simply be chronic vs. acute?

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LostCityAgent
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Good morning,
I have read over all of your posts. I can tell you that it is known/accepted in the widespread neurological community of physicians and researches that LD, syphilis, MS, et al. are commonly responsible for Acute Transverse Myelitis.
I have read nothing at John's Hopkins but I can tell you that it is a fact that LD can be an underlying cause for ATM.
My supposed attack with ATM was mild in comparison to those left in wheel chairs and on venelators.

Jmcc.

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Sparky
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http://www2.lymenet.org/domino/abstract.nsf/0/276f843ac2f2e3628525660f00001244?OpenDocument

Just one example referring to (chronic) meningoencephalomyelitis.

I would like to hear of those here who experienced acute phase. Recall one person writing that they lost use of their legs quickly over 3 days.

Suppose people could write all sorts of things, but it does seem believable.

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LostCityAgent
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Sparky,
It seems that this presents itself in an imitation of ATM?
I ask this because I had the onset symptoms of ATM but when I just had a t-spine MRI nothing showed up, potentially also to my body habitus.

Jmcc.

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