Self-inflicted oral injury in an infant with transverse myelitis.
Acute transverse myelitis (ATM) is an inflammatory disorder that affects the spinal cord. It is characterized by signs and symptoms of neurologic dysfunction in the motor and sensory tracts of the spinal cord bilaterally, resulting in weakness, sensory loss, and autonomic dysfunction with acute or subacute onset. We report on a child who had ATM and respiratory distress requiring ventilatory assistance who presented with severe self-mutilation involving his lips. Other findings included bruxism that had caused mobility of the primary teeth. Comprehensive dental care was carried out under sedation. The management of the lip trauma was achieved by the use of a soft, plastic mouth guard, and corticosteroid ointment.
Almeida
Daniela
D
Postgraduate Student, Department of Pediatric Dentistry, School of Dentistry, Veiga de Almeida University, Brazil.
da Costa
Kalini Nóbrega Neres
KN
Castro
Rodolfo de Almeida Lima
Rde A
Almeida
Marta Lua Pimentel Winz
ML
Vianna
Roberto
R
Antonio
Andréa Gonçalves
AG
D001734:Bites, Human / Q000209:etiology* / Q000517:prevention & control; D002012:Bruxism / Q000209:etiology / Q000517:prevention & control; D003730:Dental Care for Persons with Disabilities; D005151:Facial Injuries / Q000517:prevention & control; D006801:Humans; D007223:Infant; D008046:Lip / Q000293:injuries*; D008297:Male; D009064:Mouth Protectors; D009187:Myelitis / Q000150:complications*; D012652:Self Mutilation / Q000209:etiology*