Re: getting better?

D.C. Jones (jones(AT)tdl.com)
Tue, 28 Apr 1998 19:44:14 -0700

bill:

>can anyone tell me their own progression as they recovered or began >getting feeling back?

Recovery is diagnosed by onset. It is a percentage probability number
only.

I read now from a study done in 75. But the numbers are comparative to
today. I'll also include a Table of outcomes for this study.

God bless you and yours:
Davej

>

"This study suggests that three distinct types of onset occur in TM. The
largest group of TM suffers have ascending paresthesias at the onset,
usually with a course that evolves over one to fourteen days. The
outcome is usually good or fair in this group. Another group has pain at
onset, usually in the back, which comes on suddenly and evolves over
several hours; this group tends to have a poor prognosis. In a smaller,
third group the syndrome evolves over ten days to four weeks in a
stuttering course. The illness seems to stabilize, and then suddenly a
new symptom appears. All the major symptoms of TM are represented within
this group. The prognosis tends to be the same as in the gradually
progressive group, i.e., most have a good or fair outcome."

No. of Patients
_______________________
Factor Good Fair Poor Total
______________________________________________________
Total group 16 20 12 48
Preceding acute illness 10 5 4 19
Symptoms at onset
Paresthesias 9 12 3 24
Back pain 3 5 9 17
Leg weakness 4 3 0 7
Type of onset
Catastrophic 1 3 7 11
Progressive 15 17 5 37
Spinal shock 0 2 7 9
CSF pleocytosis 6 4 7 17
Treatment
None 6 11 7 24
ACTH 4 3 4 11
Corticosteroid 6 6 1 13
Laminectomy 0 0 2 2
Multiple sclerosis 2 4 1 7
__________________________________________________
ACTH = adrenocorticotropic hormone

Ropper and Poskanzer: Prognosis of Transverse Myelopathy

>From the Neurology Service, Massachusetts General Hospital, Boston, MA.
Accepted for publication Feb 22, 1978