Longitudinal extensive transverse myelitis as a neurological sequelae post-sea urchin stings: a case report
Puncture injury from sea-urchin stings may lead to a local and systemic inflammatory reaction. We are reporting a case of longitudinal extensive transverse myelitis (LETM), which occurred ten days post-sea-urchin stings, where the patient presented with bilateral lower limb weakness. MRI showed mult...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
2021
|
| Online Access: | http://psasir.upm.edu.my/id/eprint/90340/1/2020123014514226_MJMHS_0349.pdf |
| _version_ | 1796982299627094016 |
|---|---|
| author | W M Izzuddin, Anas Aminin Yusof Khan, Abdul Hanif Khan Inche Mat, Liyana Najwa Ahmad Apandi, Laila Mastura Chia, Peck Kee Basri, Hamidon |
| author_facet | W M Izzuddin, Anas Aminin Yusof Khan, Abdul Hanif Khan Inche Mat, Liyana Najwa Ahmad Apandi, Laila Mastura Chia, Peck Kee Basri, Hamidon |
| author_sort | W M Izzuddin, Anas Aminin |
| collection | UPM |
| description | Puncture injury from sea-urchin stings may lead to a local and systemic inflammatory reaction. We are reporting a case of longitudinal extensive transverse myelitis (LETM), which occurred ten days post-sea-urchin stings, where the patient presented with bilateral lower limb weakness. MRI showed multilevel segment spinal cord T2-weighted hyperintensity. Prompt intravenous methylprednisolone was administered, and the patient had a full recovery. To date, there is no case report of LETM associated with sea-urchin stings. Possible mechanism due to delayed immunological hypersensitivity to sea-urchin venom. This case demonstrates the potential serious neurological sequelae that may be associated with post-sea-urchin sting and the importance of prompt recognition and management in aiding recovery. |
| first_indexed | 2024-03-06T10:49:59Z |
| format | Article |
| id | upm.eprints-90340 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T10:49:59Z |
| publishDate | 2021 |
| publisher | Faculty of Medicine and Health Sciences, Universiti Putra Malaysia |
| record_format | dspace |
| spelling | upm.eprints-903402021-09-09T23:42:28Z http://psasir.upm.edu.my/id/eprint/90340/ Longitudinal extensive transverse myelitis as a neurological sequelae post-sea urchin stings: a case report W M Izzuddin, Anas Aminin Yusof Khan, Abdul Hanif Khan Inche Mat, Liyana Najwa Ahmad Apandi, Laila Mastura Chia, Peck Kee Basri, Hamidon Puncture injury from sea-urchin stings may lead to a local and systemic inflammatory reaction. We are reporting a case of longitudinal extensive transverse myelitis (LETM), which occurred ten days post-sea-urchin stings, where the patient presented with bilateral lower limb weakness. MRI showed multilevel segment spinal cord T2-weighted hyperintensity. Prompt intravenous methylprednisolone was administered, and the patient had a full recovery. To date, there is no case report of LETM associated with sea-urchin stings. Possible mechanism due to delayed immunological hypersensitivity to sea-urchin venom. This case demonstrates the potential serious neurological sequelae that may be associated with post-sea-urchin sting and the importance of prompt recognition and management in aiding recovery. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2021-01 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/90340/1/2020123014514226_MJMHS_0349.pdf W M Izzuddin, Anas Aminin and Yusof Khan, Abdul Hanif Khan and Inche Mat, Liyana Najwa and Ahmad Apandi, Laila Mastura and Chia, Peck Kee and Basri, Hamidon (2021) Longitudinal extensive transverse myelitis as a neurological sequelae post-sea urchin stings: a case report. Malaysian Journal of Medicine and Health Sciences, 17 (1). pp. 187-190. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2020123014514226_MJMHS_0349.pdf |
| spellingShingle | W M Izzuddin, Anas Aminin Yusof Khan, Abdul Hanif Khan Inche Mat, Liyana Najwa Ahmad Apandi, Laila Mastura Chia, Peck Kee Basri, Hamidon Longitudinal extensive transverse myelitis as a neurological sequelae post-sea urchin stings: a case report |
| title | Longitudinal extensive transverse myelitis as a neurological sequelae post-sea urchin stings: a case report |
| title_full | Longitudinal extensive transverse myelitis as a neurological sequelae post-sea urchin stings: a case report |
| title_fullStr | Longitudinal extensive transverse myelitis as a neurological sequelae post-sea urchin stings: a case report |
| title_full_unstemmed | Longitudinal extensive transverse myelitis as a neurological sequelae post-sea urchin stings: a case report |
| title_short | Longitudinal extensive transverse myelitis as a neurological sequelae post-sea urchin stings: a case report |
| title_sort | longitudinal extensive transverse myelitis as a neurological sequelae post sea urchin stings a case report |
| url | http://psasir.upm.edu.my/id/eprint/90340/1/2020123014514226_MJMHS_0349.pdf |
| work_keys_str_mv | AT wmizzuddinanasaminin longitudinalextensivetransversemyelitisasaneurologicalsequelaepostseaurchinstingsacasereport AT yusofkhanabdulhanifkhan longitudinalextensivetransversemyelitisasaneurologicalsequelaepostseaurchinstingsacasereport AT inchematliyananajwa longitudinalextensivetransversemyelitisasaneurologicalsequelaepostseaurchinstingsacasereport AT ahmadapandilailamastura longitudinalextensivetransversemyelitisasaneurologicalsequelaepostseaurchinstingsacasereport AT chiapeckkee longitudinalextensivetransversemyelitisasaneurologicalsequelaepostseaurchinstingsacasereport AT basrihamidon longitudinalextensivetransversemyelitisasaneurologicalsequelaepostseaurchinstingsacasereport |