Acute spinal cord syndrome secondary to venous congestion

A 13-year-old boy developed lower limb flaccid paralysis 24 hours after accidental ingestion of an odorless and tasteless potassium hydroxide liquid. He had absent abdominal reflexes, brisk deep tendon reflexes, and no sensation distal to the umbilicus. MRI demonstrated T2 hyperintensities throughout the spinal cord and engorgement of basilar vertebral venous plexus (figure). He made a full recovery within 48 hours of empirical IV methylprednisolone.

Source: Neurology - September 18, 2016 Category: Neurology Authors: Woodcock, I. R., Coscini, N., Mandelstam, S., Rodriguez-Casero, V., Dabscheck, G. Tags: MRI, Other cerebrovascular disease/ Stroke, All Pediatric, Spinal cord infarction, Other toxicology NEUROIMAGES Source Type: research