Priapism in Infantile Transverse Myelitis

Hammond, Edward R.; Kerr, Douglas A.

doi:10.1001/archneurol.2009.66

Cited by 10 publications

(4 citation statements)

References 13 publications

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“…19 Priapism and visual loss are also reported. 20,21 Weakness is most commonly found in the lower extremities but is also frequent in the torso and upper extremities. Involvement of the posterior columns can cause fine motor dyscoordination and an ataxic gait, which may be mislocalized to the cerebellum.…”

Section: Signs and Symptomsmentioning

confidence: 99%

Pediatric Acute Transverse Myelitis Overview and Differential Diagnosis

2012

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Acute transverse myelitis is a clinical syndrome affecting the spinal cord, which is characterized by acute onset of motor, sensory, and autonomic dysfunction. Approximately 20% of cases of acute transverse myelitis occur in children. This review summarizes the current published literature on acute transverse myelitis, including epidemiology, diagnostic criteria, pathogenesis, clinical presentation, clinical evaluation, and differential diagnosis. The article also summarizes the neuroimaging features, acute and chronic complications, treatments, and prognosis of acute transverse myelitis in the pediatric population. The initial evaluation centers on differentiation from other causes of myelopathy, and cases are further divided into idiopathic or disease-associated acute transverse myelitis. Correct diagnosis is important for treatment and prognosis. Treatment begins with intensive surveillance for acute life-threatening respiratory or autonomic complications. Immunomodulating therapy is recommended for noninfectious causes, using high-dose intravenous corticosteroids or plasma exchange. Other therapeutic options are also discussed. Prognosis depends on a number of factors, and evidence suggests that the majority of children have a good outcome. A small percentage of children diagnosed with acute transverse myelitis later are diagnosed with other demyelinating diseases, especially neuromyelitis optica, or multiple sclerosis. The most common long-term complications of acute transverse myelitis are urinary, motor, or sensory dysfunction.

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Section: Signs and Symptomsmentioning

confidence: 99%

Pediatric Acute Transverse Myelitis Overview and Differential Diagnosis

2012

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“…In this case, the feline patient was uncomfortable but did not seem to be in acute pain, and the erection of the corpora was not completely rigid. In two human medicine reports, the diagnosis of non-ischemic priapism in an infant was based on history and physical examination due to difficulties of blood gas analysis and color-flow Doppler ultrasound scanning [37,38]. Based on its history, physical examination, lack of severe pain, and complete clinical resolution of erection spontaneously after conservative management, the patient's diagnosis appeared to be non-ischemic priapism.…”

Section: Discussionmentioning

confidence: 99%

Presumptive Non-Ischemic Priapism in a Cat

Lee

Sung

Lee

et al. 2022

Veterinary Sciences

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A 14-year-old neutered male British shorthair cat presented with a 21-day history of persistent erection and dysuria, along with overgrooming of the perineal region. Mild palpation induced pain and rigid corpora cavernosa with flaccid glans were observed during physical examination. Ultrasonography of the penis did not detect significant blood flow in the penile cavernosal artery. The drawing of aspirate blood from cavernosal bodies for gas analysis was impossible because of the anatomically small penis size of cats. Conservative management, including topical steroid ointment, lidocaine gel, gabapentin, and diazepam, was prescribed for supportive management. The clinical signs resolved, and ultrasonographic examination of the penis revealed no abnormalities. The cat remains clinically well without recurrence during the 6 months after treatment. To our knowledge, this is the first report of non-ischemic priapism in a cat.

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“…Evaluation with corporal blood gas or penile ultrasonography was not pursued. 3 Ozbek et al described a case of non-ischemic priapism in a 2-year old with history of perineal trauma. He was found to have a dermal sinus tumor at the base of the penis causing the priapism which resolved with treatment of the tumor.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic non-ischemic priapism in an infant: A case report

Wang

Berrondo

2020

Urology Case Reports

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Priapism is a pathologic erection lasting >4 hours that is unrelated to or persists beyond sexual stimulation. Priapism is rare in children, and rarely reported in infants. Although a small number of cases have been reported in neonates, even fewer have been reported in infants outside of the neonatal period. Due to its rarity and poorly understood pathophysiology, the diagnosis and management of priapism in infants is challenging. We report a rare case of idiopathic non-ischemic priapism in a 9-month-old highlighting some of the challenges in diagnosis and management of priapism in this age group.

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Priapism in Infantile Transverse Myelitis

Abstract: Background: Transverse myelitis is an autoimmune neurological disorder of the spinal cord that affects individuals of all age groups, including infants.Objective: To report priapism as a unique clinical manifestation of infantile transverse myelitis.

Cited by 10 publications

References 13 publications

Pediatric Acute Transverse Myelitis Overview and Differential Diagnosis

Pediatric Acute Transverse Myelitis Overview and Differential Diagnosis

Presumptive Non-Ischemic Priapism in a Cat

Idiopathic non-ischemic priapism in an infant: A case report

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