title: Pediatric idiopathic transverse myelitis presenting as an anterior cord syndrome: a case report.
abstract: OBJECTIVE
  Describe the case of an Anterior Cord Syndrome secondary to transverse myelitis. ANTERIOR CORD SYNDROME: Anterior Cord syndrome (ACS) is characterized by a lesion that affects the anterior two thirds of the spinal cord while preserving the posterior columns. TRANSVERSE MYELITIS: Transverse myelitis (TM) is an inflammatory disorder with a heterogeneous pathogenesis affecting the spinal cord at one or more segments, resulting in motor, sensory, and autonomic dysfunction in the absence of a preexisting neurological disease or spinal cord compression.
  
  
  METHODS
  The patient was treated with methylprednisolone, IV Antibiotics, acyclovir, and inpatient rehabilitation.
  
  
  RESULTS
  The patient significantly improved her function throughout inpatient rehabilitation and was discharged after achieving modified independent level with ambulation and all activities of daily living. The patient also gained independence with an intermittent catheterization program and a nightly bowel program, which included suppository and digital stimulation.
  
  
  CONCLUSIONS
  This case illustrates the first documented pediatric patient with a unique case of Anterior Cord Syndrome caused by idiopathic transverse myelitis.
authors.affiliation: Physical Medicine and Rehabilitation Alliance Department, Baylor COM/University of Texas Medical School at Houston, Houston, TX, USA. mikegreen13@gmail.com
authors.forename: M
authors.initials: M
authors.lastname: Green
authors.forename: J
authors.initials: J
authors.lastname: Berliner
authors.forename: J
authors.initials: J
authors.lastname: Frontera
mesh_terms: D000203:Activities of Daily Living; D000212:Acyclovir / Q000008:administration & dosage; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D000998:Antiviral Agents / Q000008:administration & dosage; D001342:Autonomic Nervous System Diseases / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000008:administration & dosage; D016472:Motor Neuron Disease / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D009188:Myelitis, Transverse / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology / Q000534:rehabilitation; D026741:Physical Therapy Modalities; D019145:Rehabilitation Nursing / Q000379:methods*; D012678:Sensation Disorders / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D013116:Spinal Cord / Q000473:pathology; D013577:Syndrome; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D000998:Antiviral Agents; D000212:Acyclovir; D008775:Methylprednisolone