Association of dengue with longitudinally extensive transverse myelitis and subarachnoid hemorrhage: An unusual presentation

Association of dengue fever with transverse myelitis is a rare phenomenon; involvement of a long segment is even rarer. We describe a middle-aged female who presented with weakness of bilateral lower limbs and urinary retention 4 days after recovery from dengue fever. She, in addition, had a sensory...

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Bibliographic Details
Published in:Annals of the Indian Academy of Neurology 2018-04, Vol.21 (2), p.158-160
Main Authors: Chaudhry, Neera, Aswani, Nishant, Khwaja, Geeta, Rani, Puja
Format: Article
Language:English
Subjects:
Abdomen
Back pain
Case Report
Case studies
Complications and side effects
Dengue
Dengue fever
Dengue hemorrhagic fever
Encephalitis
Etiology
Hemorrhage
Infections
Inflammatory diseases
Magnetic resonance imaging
Myelitis
NMR
Nuclear magnetic resonance
Rehabilitation
Risk factors
Spinal cord
Steroid hormones
Subarachnoid hemorrhage
Transverse myelitis
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Summary:Association of dengue fever with transverse myelitis is a rare phenomenon; involvement of a long segment is even rarer. We describe a middle-aged female who presented with weakness of bilateral lower limbs and urinary retention 4 days after recovery from dengue fever. She, in addition, had a sensory level up to the level of nipples. Magnetic resonance imaging confirmed the diagnosis of longitudinally extensive transverse myelitis. Besides, the patient had spontaneous subarachnoid hemorrhage (SAH) in the absence of dengue hemorrhagic fever. The patient was started on steroids along with rehabilitation. Our case highlights the extensive involvement of spinal cord in the postinfectious phase of dengue and inclusion of this arboviral disease in the differential diagnoses of myelitis as well as an etiology of SAH.
ISSN:0972-2327
1998-3549
DOI:10.4103/aian.AIAN_40_18