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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Transverse Myelitis, Biopsy To Get It Confirmed. Any Other Drug To Treat This Besides Prednisone ?

Hello,

I am a 29 year old female diagnosed with Transverse Myelitis in 11/12. I am waiting to get a biopsy done to confirm Neurosarcoidosis. I am going currently going to Johns Hopkins. My doctors are very busy and don't have much time for me. When I got the information about Neurosarcoidosis, I had lots of questions, but was too upset to ask them. So, here goes...
Is there any other drug to treat this besides Prednisone? I am currently taking 60mg a day
(I did some research and came up with Imuran) Your thoughts???
Is this something that could be passed to my child?
If there are crystals on my spinal cord, can they be surgically removed?
Where on earth did this come from? The only issues I have had recently was a viral infection in 8/12.
Mon, 22 Jul 2013
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  User's Response
HI
Thank for choosing HCM, I think the final diagnosis is yet to be confirmed, and you might given a steroid on basis of clinical history alone, after final diagnosis with help of MRI, spinal tapping, it is extremely necessary to differentiate the diagnosis, careful evaluation needed of full central nervous system, with routine investigation, to rule out the under laying possibility of infection either viral or bacterial, chances of finding of the etiologic causes is uncertain sometime, time is very much crucial in this regard, in time and early diagnosis, increases the chances of rapid recovery. Here is answer of your queries====1> yes there is another treatment available beside the steroid, "Plasma exchange" can be try along with steroid or followed by steroid it depend upon the exact pathological changes,and over all experience of physician. 2> No it is not contagious disease it wont pass to your child, 3> the chances of formation of crystal, you are thinking is rare and even if it is there it wont causes any clinical symptoms, because the area is already under attack and clinically manifested. 4> Many of Pathophysiological script comes with human being and becomes the cause of illness, and death, at any time during the course of life. Do not worry you will come out of this very soon,Have good life.
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Diagnosed With Transverse Myelitis, Biopsy To Get It Confirmed. Any Other Drug To Treat This Besides Prednisone ?

HI Thank for choosing HCM, I think the final diagnosis is yet to be confirmed, and you might given a steroid on basis of clinical history alone, after final diagnosis with help of MRI, spinal tapping, it is extremely necessary to differentiate the diagnosis, careful evaluation needed of full central nervous system, with routine investigation, to rule out the under laying possibility of infection either viral or bacterial, chances of finding of the etiologic causes is uncertain sometime, time is very much crucial in this regard, in time and early diagnosis, increases the chances of rapid recovery. Here is answer of your queries====1 yes there is another treatment available beside the steroid, Plasma exchange can be try along with steroid or followed by steroid it depend upon the exact pathological changes,and over all experience of physician. 2 No it is not contagious disease it wont pass to your child, 3 the chances of formation of crystal, you are thinking is rare and even if it is there it wont causes any clinical symptoms, because the area is already under attack and clinically manifested. 4 Many of Pathophysiological script comes with human being and becomes the cause of illness, and death, at any time during the course of life. Do not worry you will come out of this very soon,Have good life.