Re: ATM

Karen Luglio (tootsie(AT)voicenet.com)
Fri, 20 Dec 1996 23:35:38 -0500 (EST)

At 06:57 PM 12/20/96 -0800, you wrote:
>>I am a 42 year old female diagnosed on October 20 with acute transverse
>>myelitis. I was improving clinically and had repeat MRI's of the spine
>>which just came back as showing increased inflammation and spinal cord
>>swelling at the same area. I am now going to a specialist at the Univer. of
>>PA. for a possible spinal biopsy. Has anyone else had repeat MRIs which
>>showed anything?
>
>I was diagnosed in July 1995 after rapid 48 hour onset. My MRI said that
>the entire
>spinal cord was involved from the conus to C-2. I was paralyzed from T-2 or
>so down.
>Without going into my whole story, which has been posted here before, I made
>a decent recovery as things go, as I can walk and drive. My legs are still
>stiff and mostly numb. I have had no reoccurences and feel I am still
>improving very slowly. I never had but One MRI. I was treated at Thomas
>Jefferson U. Hosp in Philly. After I was
>stabilized with steroids, including a tapered dose of prednisone, the
>neurologists
>basically handed me off to the rehab doctors. I've seen the neurologist
>once since getting out of the hospitial.
>
> If you are a regular reader here you will reach this conclusion:
>Doctors are
>nearly totally in the dark when it comes to ATM. You sort of have to be
>your own doctor, and come to your own conclusions.
>
> Happy Holidays to all!!!
>
> Your Friend ---- jim f
>
>
>

Dear Jim:

Who did you see at Jefferson? I can't believe that they didn't do any
followup MRIs on you. I would get another opinion.

I saw the neurosurgeon at University of Pennsylvania Hospital (HUP) and he
felt a biopsy was unnecessary (thank god). He did, however, feel that I
still had a lot of inflammation and swelling on the spinal cord.

I will be seeing a new neurologist (at the suggestion of my present one) for
another opinion and medical followup. This will take place on Monday. I
have profound weakness in my quadriceps and knees. I have a constant aching
at the level of my inflammation in my neck. My hands have regained most of
the movement but still lack a lot of sensation.

I find the biggest problem I have is what I call "spine attacks". It starts
with any type of stimulation of the cord such as when I first wake up in the
morning, or after physical therapy. A weak, vibrating, prickly sensation
starts spreading down my arms to my hands. I lose all control over my arms
to weakness. It intensifies over a period of 5-10 minutes. The sensation
is unbearable. The doctors are at a loss to explain it except that it could
be part of my healing process (it's been happening for a month already).

I agree that the doctors are in the dark about this. Probably because there
is no one common factor to link the occurrences. I am a registered nurse
who specializes in IV therapy. I was all over the hospital in every room
exposed to who knows what. There is wide concensus that this is caused by a
post viral syndrome or a very active immune system that turns on itself
(autoimmune), sort of like a lupus-type reaction.

Thank you for your e-mail and keep in touch. If I find anything out that
sounds interesting on Monday, I will share it with you.

Have a happy

Karen