Longitudinal Extensive Transverse Myelitis as a Neurological Sequelae post-Sea Urchin Stings: A Case Report
- Author:
Anas Aminin W M Izzuddin
1
;
Abdul Hanif Khan Yusof Khan
1
;
Liyana Najwa Inche Mat
1
;
Laila Mastura Ahmad Apandi
2
;
Peck Kee Chia
1
;
Hamidon Basri
1
Author Information
- Publication Type:Case Reports
- Keywords: Acute transverse myelitis, Neuromyelitis Optica spectrum disorder, Sea-urchin, Delayed hypersensitivity
- From:Malaysian Journal of Medicine and Health Sciences 2021;17(No.1):187-190
- CountryMalaysia
- Language:English
- Abstract: Puncture injury from sea-urchin stings may lead to a local and systemic inflammatory reaction. We are reporting a case of longitudinal extensive transverse myelitis (LETM), which occurred ten days post-sea-urchin stings, where the patient presented with bilateral lower limb weakness. MRI showed multilevel segment spinal cord T2-weighted hyperintensity. Prompt intravenous methylprednisolone was administered, and the patient had a full recovery. To date, there is no case report of LETM associated with sea-urchin stings. Possible mechanism due to delayed immunological hypersensitivity to sea-urchin venom. This case demonstrates the potential serious neurological sequelae that may be associated with post-sea-urchin sting and the importance of prompt recognition and management in aiding recovery.
- Full text:11.2021my1007.pdf
