Symptoms of demyelinating myelitis_Symptoms of spinal demyelinating lesions

Demyelinating myelitis is a relatively serious disease. Patients need to pay attention to their daily lives during treatment, avoid spicy and greasy foods, and do some simple light exercises, but avoid overly intense exercise. Some exercises may be irritating to demyelinating myelitis and may even cause a relapse. So we should avoid these exercises. So, what are the symptoms of demyelinating myelitis?

1. Demyelinating disease occurs when the myelin sheath of the axons of the brain and spinal cord is lost. There are two types of causes: myelin destruction; myelin formation disorders. Myelitis and demyelinating disease are currently considered to be immune-mediated diseases, and their clinical features are:

① All patients are children and young adults;

②Acute onset, often with a history of cold, fever, infection, rash, vaccination, cold, childbirth or surgery one month before the onset of the disease;

③ Comprehensive neurological examination can often find evidence of central nervous system involvement in addition to spinal cord symptoms and signs;

④Positive oligoclonal bands in cerebrospinal fluid examination;

⑤ Electrophysiology and MRI can detect some subclinical lesions in the brain; MRI can detect abnormal signals in the white matter of the brain. Some inflammatory demyelinating lesions of the spinal cord present as "pseudotumor-like" lesions, with mild space-occupying effect and mild surrounding edema on MRI, and may have flake-like hemorrhage signals, which can easily be misdiagnosed as spinal cord tumors. Current medical treatment is ineffective.

Therefore, neurosurgery intervention is inevitable and necessary.

2. Symptoms and Signs

Demyelinating myelitis is mostly acute multiple sclerosis (MS) spinal cord type. The clinical manifestations are similar to post-infectious myelitis, but the progression is slower, and the disease often reaches its peak within 1-3 weeks. The prodromal infection may not be obvious, and is mostly an incomplete transverse lesion, manifested by weakness or paralysis of one or both lower limbs, accompanied by numbness, the level of sensory impairment is not obvious or there are two planes, and urinary and bowel disorders occur. Evoked potentials and MRI examinations may reveal lesions in other parts of the CNS.

3. Causes of Disease

The cause is unknown.

IV. Treatment Plan

There is no specific treatment for this disease, and the main treatments include alleviating spinal cord damage, preventing and treating complications, and promoting functional recovery. Drug treatment: ① corticosteroids; ② immunoglobulin; ③ antibiotics; ④ B vitamins help restore nerve function.