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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Migraine, head, legs effected, vomit. Blood in urine. What could be causing these?

Hi. I am trying to find out what could possibly be wrong with my wife. She has been in hospital since 12 February unable to walk or even stand up. This problem came on following a migraine which affected the right side of her head. She also vomited heavily as a result of the migraine. From the next day she had no power or movement in her legs. She is able to move her feet slightly but the legs themselves do not move. Her upper body is functioning as normal and she no longer has a headache. Doctors have done lots of tests including MRI scans of head and back, a myriad of blood tests and an ultrasound of her stomach area. All of these have shown nothing that would be causing these symptoms. The doctors think, therefore, that this could have been caused by a virus but cannot pinpoint which virus or how it should be treated. They are running out of ideas so what I would like to know is has anyone else had this kind of problem and what caused it, and what other tests should we consider getting done? It is now basically three weeks. It may be unconnected but she may also have a bladder infection as today she has passed some blood in her urine. Any help or ideas appreciated.
Mon, 4 Mar 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.

It is unfortunate that your wife has suffered paralysis of both legs, and no cause has been identified so far.

The most likely cause in this case is acute transverse myelitis, which is usually caused by viral infections of the spinal cord. MRI of spine may be normal initially, but findings appear later on when the MRI is repeated.

Other tests that can help are lumbar puncture and evoked potential studies- both somatosensory and tibial.

A course of steroid therapy for 3-5 days is effective along with good physiotherapy.

I hope it is helpful. I would be pleased to answer any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Migraine, head, legs effected, vomit. Blood in urine. What could be causing these?

Hi, Thank you for posting your query. It is unfortunate that your wife has suffered paralysis of both legs, and no cause has been identified so far. The most likely cause in this case is acute transverse myelitis, which is usually caused by viral infections of the spinal cord. MRI of spine may be normal initially, but findings appear later on when the MRI is repeated. Other tests that can help are lumbar puncture and evoked potential studies- both somatosensory and tibial. A course of steroid therapy for 3-5 days is effective along with good physiotherapy. I hope it is helpful. I would be pleased to answer any more queries. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist