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Transverse Myelitis in Naloxone Reversible Acute Respiratory Failure—A Case Report

Chance Dodson, MD* and Joshua Gentges, MD*

*University of Oklahoma, Department of Emergency Medicine, Tulsa, OK

Correspondence should be addressed to Chance Dodson, MD at cdodson1224@gmail.com

DOI: https://doi.org/10.21980/J8B659 Issue 7:4
NeurologyVisual EM
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Transverse Myelitis in Naloxone Reversible Acute Respiratory Failure. C Spine MRI Annotation. JETem 2022 1
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ABSTRACT:

Transverse myelitis (TM) is a rare inflammatory myelopathy presenting as bilateral neurologic deficit localized to the spinal cord.  A critical management step in the emergency department (ED) is evaluating for and treating acute reversible causes such as mass lesion or reversible ischemia when present.   Described in this case report is TM presenting after a respiratory arrest in suspected opioid overdose. Magnetic resonance imaging (MRI), ideally with contrast, and lumbar puncture are essential diagnostic studies to confirm inflammation.  Finally, further diagnostic efforts are aimed at evaluation and treatment for other concurrent illnesses. 

Topics:

Transverse myelitis, transverse myelopathy, hypoxia, opioid overdose, hypoxic spinal cord injury.

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