Myelitis: Difference between revisions
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=== Clinic === | === Clinic === | ||
* | * Inflammation of the spinal cord which can disrupt normal responses from the brain to the rest of the body, and from the rest of the body to the brain. | ||
* It is classified to several categories depending on the area or the cause of the lesion | |||
* However, any inflammatory attack on the spinal cord is often referred to as [[transverse myelitis]]. | |||
=== Types === | === Types === | ||
* Acute flaccid myelitis: | * [[Flaccid Paralysis miasms|Acute flaccid myelitis]]: A polio-like syndrome that causes muscle weakness and paralysis. | ||
* Poliomyelitis: disease caused by viral infection in the gray matter with symptoms of muscle paralysis or weakness | * [[PLV, Polio Virus|Poliomyelitis]]: disease caused by viral infection in the gray matter with symptoms of muscle paralysis or weakness | ||
* Transverse myelitis: caused by axonal demyelination encompassing both sides of the spinal cord | * [[Transverse myelitis]]: It is caused by axonal demyelination encompassing both sides of the spinal cord | ||
* Leukomyelitis: | * Leukomyelitis: Lesions in the white matter | ||
* Meningococcal myelitis | * Meningococcal myelitis or Meningomyelitis: Lesions occurring in the region of meninges and the spinal cord | ||
=== Sign / Symptoms === | === Sign / Symptoms === | ||
* | * Mostly fast progression in muscle weakness or paralysis starting with the legs and then arms with varying degrees of severity. | ||
* | * Instability of posture and difficulty in walking or any movement. | ||
* Pain in the back, extremities or abdomen | |||
* Pain in the back, extremities | |||
* Incomplete evacuation of bowel or constipation | * Incomplete evacuation of bowel or constipation | ||
* Respiratory problems | * Respiratory problems | ||
* Intractable vomiting | * Intractable vomiting | ||
* Paresthesia / Hyperstasia / Radiculopathy | * Paresthesia / Hyperstasia / Radiculopathy | ||
* Urinary urgency /Bladder incontinence | * Urinary urgency /Bladder incontinence / Difficulty or inability to void | ||
* Constipation | * Constipation | ||
* Radiculopathy | * Radiculopathy | ||
* Gait difficulty | * Gait difficulty | ||
=== Miasmatic analysis === | |||
=== [[Miasmatic approach|Miasmatic analysis]] === | |||
* Myelitis + [[Urinary incontinence|Incontinence]]: [[TBE, Tick Borne Encephalitis|TBE]], [[HTLV-1, Human T lymphotropic virus type 1|HTLV-1]] | * Myelitis + [[Urinary incontinence|Incontinence]]: [[TBE, Tick Borne Encephalitis|TBE]], [[HTLV-1, Human T lymphotropic virus type 1|HTLV-1]] | ||
* Myelitis + Urgency: [[HSV-1, Herpes Simplex Virus|HSV-1]], [[HSV-2, Herpes Simplex Virus|HSV-2]], HTLV-1 | * Myelitis + Urgency: [[HSV-1, Herpes Simplex Virus|HSV-1]], [[HSV-2, Herpes Simplex Virus|HSV-2]], [[HTLV-1, Human T lymphotropic virus type 1|HTLV-1]] | ||
* Myelitis + [[Constipation]]: HSV-1, HSV-2, [[RBOL, Measles, rubeola|RBOL]], [[EBV, Epstein Barr Virus|EBV]], [[LBB, Lyme Borreliosis Bacterium|LBB]] | * Myelitis + [[Constipation]]: [[HSV-1, Herpes Simplex Virus|HSV-1]], [[HSV-2, Herpes Simplex Virus|HSV-2]], [[RBOL, Measles, rubeola|RBOL]], [[EBV, Epstein Barr Virus|EBV]], [[LBB, Lyme Borreliosis Bacterium|LBB]] | ||
* Myelitis + [[Paresthesia]] + [[Hyperesthesia|Hyperestasia]]: HSV-1, HSV-2 , [[PLV, Polio Virus|PLV]], LBB | * Myelitis + [[Paresthesia]] + [[Hyperesthesia|Hyperestasia]]: [[HSV-1, Herpes Simplex Virus|HSV-1]], [[HSV-2, Herpes Simplex Virus|HSV-2]] , [[PLV, Polio Virus|PLV]], [[LBB, Lyme Borreliosis Bacterium|LBB]] | ||
* Myelitis + [[Radiculopathy]]: HSV-1, HSV-2 ,LBB | * Myelitis + [[Radiculopathy]]: [[HSV-1, Herpes Simplex Virus|HSV-1]], [[HSV-2, Herpes Simplex Virus|HSV-2]] ,[[LBB, Lyme Borreliosis Bacterium|LBB]] | ||
* Myelitis, [[Flaccid Paralysis miasms|Flaccid]]: [[ADV, Adenovirus|ADV]], PLV, [[WNE, West Nile Encephalitis|WNE]] | * Myelitis, [[Flaccid Paralysis miasms|Flaccid]]: [[ADV, Adenovirus|ADV]], [[PLV, Polio Virus|PLV]], [[WNE, West Nile Encephalitis|WNE]] | ||
* Poly-myelitis like syndrome | * In Poly-myelitis like syndrome, [[MMP, Mumps|MMP]] is best | ||
* Myelitis, | * In Ascending Myelitis, [[SHBV, Herpes B Virus|SHBV]] is suggested | ||
* Myelitis, Hemorrhagic | * In Flaccid Myelitis, [[ADV, Adenovirus|ADV]], [[PLV, Polio Virus|PLV]] and [[WNE, West Nile Encephalitis|WNE]] are good | ||
* | * In Hemorrhagic Myelitis, consider [[SHBV, Herpes B Virus|SHBV]] | ||
* If there is [[LMN, Lower Motor Neuron|LMN]] Sign / Symptoms, the miasm is [[PLV, Polio Virus|PLV]] | |||
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= | {| class="wikitable" | ||
|+Cause | |||
!Viral myelitis | |||
!Bacterial myelitis: | |||
!Fungal myelitis | |||
!Autoimmune causes | |||
|- | |||
| | |||
* [[HIV, Human immunodeficiency virus|HIV]] | |||
* [[HTLV-1, Human T lymphotropic virus type 1|HTLV-1]] | |||
* [[HTLV-2]] | |||
* [[EV70]] and [[EV71]], | |||
* [[CXA, CXB, ECH, Coxsackie viruses & Echoviruses|CXA]], [[CXA, CXB, ECH, Coxsackie viruses & Echoviruses|CXB]], [[CXA, CXB, ECH, Coxsackie viruses & Echoviruses|ECHO]], | |||
* [[WNE, West Nile Encephalitis|WNE]] | |||
* [[JE, Japanese encephalitis|JE]] | |||
* [[TBE, Tick Borne Encephalitis|TBE]] | |||
| | |||
* [[Syphilis]] | |||
* LBB | |||
* MTB | |||
* ''Mycoplasma pneumoniae'' | |||
| | |||
*''Cryptococcus neoformans'' | |||
*''Coccidioides immitis'' | |||
*''Blastomyces dermatitides'' | |||
*''Hystoplasma capsulatum''. | |||
* In immunocompromised hosts | |||
** Candida species | |||
** Aspergillus species | |||
** zygomycetes. | |||
| | |||
|} | |||
=== Researches === | |||
* Transverse myelitis or leukomyelitis | * Transverse myelitis or leukomyelitis are often caused by the [[herpes viruses]] and influenza virus | ||
* [[CMV, Cytomegalovirus|CMV]] | |||
Latest revision as of 23:45, 1 September 2023
Clinic
- Inflammation of the spinal cord which can disrupt normal responses from the brain to the rest of the body, and from the rest of the body to the brain.
- It is classified to several categories depending on the area or the cause of the lesion
- However, any inflammatory attack on the spinal cord is often referred to as transverse myelitis.
Types
- Acute flaccid myelitis: A polio-like syndrome that causes muscle weakness and paralysis.
- Poliomyelitis: disease caused by viral infection in the gray matter with symptoms of muscle paralysis or weakness
- Transverse myelitis: It is caused by axonal demyelination encompassing both sides of the spinal cord
- Leukomyelitis: Lesions in the white matter
- Meningococcal myelitis or Meningomyelitis: Lesions occurring in the region of meninges and the spinal cord
Sign / Symptoms
- Mostly fast progression in muscle weakness or paralysis starting with the legs and then arms with varying degrees of severity.
- Instability of posture and difficulty in walking or any movement.
- Pain in the back, extremities or abdomen
- Incomplete evacuation of bowel or constipation
- Respiratory problems
- Intractable vomiting
- Paresthesia / Hyperstasia / Radiculopathy
- Urinary urgency /Bladder incontinence / Difficulty or inability to void
- Constipation
- Radiculopathy
- Gait difficulty
Miasmatic analysis
- Myelitis + Incontinence: TBE, HTLV-1
- Myelitis + Urgency: HSV-1, HSV-2, HTLV-1
- Myelitis + Constipation: HSV-1, HSV-2, RBOL, EBV, LBB
- Myelitis + Paresthesia + Hyperestasia: HSV-1, HSV-2 , PLV, LBB
- Myelitis + Radiculopathy: HSV-1, HSV-2 ,LBB
- Myelitis, Flaccid: ADV, PLV, WNE
- In Poly-myelitis like syndrome, MMP is best
- In Ascending Myelitis, SHBV is suggested
- In Flaccid Myelitis, ADV, PLV and WNE are good
- In Hemorrhagic Myelitis, consider SHBV
- If there is LMN Sign / Symptoms, the miasm is PLV
Related diseases
- Acute disseminated encephalomyelitis: autoimmune demyelination of the brain causing severe neurological signs and symptoms
- Multiple sclerosis: demyelination of the brain and spinal cord
- Neuromyelitis optica or Devic's disease: immune attack on optic nerve and spinal cord
- Sjögren's syndrome: destruction of the exocrine system of the body
- Systemic lupus erythematosus: a systemic autoimmune disease featuring a wide variety of neurological signs and symptoms
- Sarcoidosis: chronic inflammatory cells form as nodules in multiple organs
- Atopy: an immune disorder of children manifesting as eczema or other allergic conditions. It can include atopic myelitis, which causes weakness.
- Immune-mediated myelopathies, heterogeneous group of inflammatory spinal cord disorders including autoimmune disorders with known antibodies
Viral myelitis | Bacterial myelitis: | Fungal myelitis | Autoimmune causes |
---|---|---|---|
|
|
Researches
- Transverse myelitis or leukomyelitis are often caused by the herpes viruses and influenza virus
- CMV