Clinical Reasoning: A 2-year-old child with acute flaccid paralysis

Al-Ghamdi, Fouad; Ghosh, Partha S.

doi:10.1212/wnl.0000000000003175

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…MRI brain and spine are indicated when there is a suspicion of rapid paralysis, bladder or bowel involvement, sensory loss or sensory level on examination, and appearance of UMN or LMN signs on examination [16].…”

Section: Discussionmentioning

confidence: 99%

Role of MRI evaluation in acute secondary inability to walk in children

Sedeek

Aboualfotouh

Hassanein

et al. 2021

Egypt J Radiol Nucl Med

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Background Acute bilateral lower limb weakness is a common problem in children which necessitates a rapid method for diagnosis. MRI is a non-invasive imaging technique that produces high-quality images of the internal structure of the brain and spinal cord. Results MRI was very helpful in reaching rapid and prompt diagnosis in children with acute inability to walk. Acute disseminated encephalomyelitis (ADEM), Guillain–Barré syndrome (GBS), and acute transverse myelitis (ATM) were the most common causes in our study. MRI proved to be of high sensitivity in detecting the lesions and reaching the diagnosis in ADEM and GBS; however, there was no significant relation between the lesions’ size, enhancement pattern, and severity of the disease or prognosis, yet in ATM the site of the lesion and number of cord segment affection were significantly related to the severity of the disease and prognosis. Conclusion MRI is a quick tool to reach the diagnosis of children with acute secondary inability to walk, and to eliminate other differential diagnosis which is essential for proper treatment and rapid full recovery. It is highly sensitive in detecting the lesions, their site and size.

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Section: Discussionmentioning

confidence: 99%