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Child Suffering from myelopathy. Is it curable? - Online Doctor Chats

Date : 01-Dec-2013
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2560 Questions
User:Any doc online?
User:How are u, Doc?
Doctor:I am good, thank you
Doctor:How are you?
User:I have a typical case to discuss
Doctor:please proceed
Doctor:are you there?
User:yes yes
User:The patient is 6 yrs old male
User:and he has started developing myplalathy
User:myopalthy..sorry...typo erro
Doctor:I am waiting for you to type
User:We have consulted a nerologist and as per his opinion, this is a non-treatable disease
User:and the child may survive only for next 6-7 years
User:I am looking for a second opinion
Doctor:I am sorry about that
Doctor:it depends on the cause of myelopathy
Doctor:Treatment is complicated
User:can you elaborate?
Doctor:if we can treat the underlying cause, then better
Doctor:if it is mechanical problem in the spine, sometimes, it may not be amenable to surgery
Doctor:In such a case, treatment fails
Doctor:The life expectancy is decreased as well
Doctor:Also, the quality of life is decreased as a result of the progressive disease
Doctor:cervical myelopathy is XXXXXXX
Doctor:it requires surgical decompression and fusion
Doctor:a difficult surgery
Doctor:success rate is also low
Doctor:the motor ans sensory dysfunction that the child faces are debilitating
User:and...what if the patient develops Muscular dystrophy?
Doctor:there will be progressive damage
Doctor:loss of muscle tone
Doctor:Inability to perform motor activities
User:and then?
Doctor:like walking
Doctor:difficulty in eating
Doctor:any motor activity for that matter is disable
User:the child has difficulty in walking rght now
Doctor:that is sad
Doctor:the disease progresses
User:I am not sure of the exact problem...
User:any treatment
User:or medication?
Doctor:surgery is done in most cases
Doctor:steroids are tried for medical management
User:Do you advise for any investigations?
Doctor:MRI of the spine is the investigation of choice
Doctor:it has to be done often to look for progression of the disease
Doctor:do you have more queries?
Doctor:please ask
User:I really do not have any idea how to go about this
Doctor:who is it for?
User:It is for my nephew
Doctor:a child neurologist is the right and ideal specialist to consult
User:So the first thing tht I have to do is to consult a child neurologist
User:thanks a ton for the guidance!
User:no more queries
Doctor:my pleasure
User:thanks once again
Doctor:take care
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