{"id":2446,"date":"2010-08-05T15:16:18","date_gmt":"2010-08-05T15:16:18","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/neurotm\/"},"modified":"2025-05-14T19:08:31","modified_gmt":"2025-05-14T19:08:31","slug":"neurotm","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/neurotm\/","title":{"rendered":"Criterios Diagn\u00f3stico parta Mielitis Transversa"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>El t\u00e9rmino \u00abmielitis transversa\u00bb describe un grupo heterog\u00e9neo de enfermedades inflamatorias que se caracterizan por disfunci\u00f3n motora aguda o subaguda, sensorial, y\u00a0de la m\u00e9dula espinal\u00a0auton\u00f3mica (vesical, intestinal, y sexual).\u00a0Los signos cl\u00ednicos son causados por una interrupci\u00f3n en las v\u00edas\u00a0neuroanat\u00f3micas\u00a0ascendentes y descendentes en el plano transversal de la m\u00e9dula espinal, y produce un nivel sensorial que es una caracter\u00edstica del s\u00edndrome.<br \/>\n<!--more--><br \/>\n<strong>Criterios Diagn\u00f3stico parta Mielitis Transversa<\/strong><strong>\u00a0*<\/strong><\/p>\n<ul>\n<li>Disfunci\u00f3n\u00a0bilateral (no necesariamente sim\u00e9trica) sensoriomotora y auton\u00f3mica de la m\u00e9dula espinal<\/li>\n<li>Nivel sensitivo claramente definido<\/li>\n<li>Progresi\u00f3n hasta un nadir de d\u00e9ficit cl\u00ednico entre 4 horas y 21 d\u00edas despu\u00e9s de inicio de los s\u00edntomas<\/li>\n<li>Demostraci\u00f3n de la inflamaci\u00f3n de la m\u00e9dula espinal: cefalorraqu\u00eddeo pleocitosis de l\u00edquido o \u00edndice IgG elevado, \u2020 o una resonancia magn\u00e9tica revela una lesi\u00f3n de la m\u00e9dula realzada con gadolinio<\/li>\n<li>Exclusi\u00f3n de las causas de compresi\u00f3n, despu\u00e9s de la radiaci\u00f3n, neopl\u00e1sicas y vasculares<\/li>\n<\/ul>\n<p>* Los eventos cl\u00ednicos que sean compatibles con mielitis transversa, pero que no est\u00e1n asociadas con anormalidades del l\u00edquido cefalorraqu\u00eddeo o anomal\u00edas detectadas en la RNM y que no presentan una causa subyacente identificable se clasifican como mielitis transversa idiop\u00e1tica\u00a0posible.<br \/>\n\u2020 El \u00edndice de IgG es una medida de s\u00edntesis intratecal de inmunoglobulinas y se calcula con la\u00a0siguiente\u00a0f\u00f3rmula: (IgG en LCR \u00f7 IgG s\u00e9rica) \u00f7 (alb\u00famina en LCR \u00f7 alb\u00famina s\u00e9rica), donde LCR se refiere al l\u00edquido cefalorraqu\u00eddeo.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Frohman E, Wingerchuk D. Transverse Myelitis. N Engl J Med 2010;363:564-72.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20818891\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Transverse Myelitis Consortium Working Group. Proposed diagnostic criteria and nosology of acute transverse myelitis. Neurology. 2002 Aug 27;59(4):499-505.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12236201\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Sep 03, 2010<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El t\u00e9rmino \u00abmielitis transversa\u00bb describe un grupo heterog\u00e9neo de enfermedades inflamatorias que se caracterizan por disfunci\u00f3n motora aguda o subaguda, sensorial, y\u00a0de la m\u00e9dula espinal\u00a0auton\u00f3mica (vesical, intestinal, y sexual).\u00a0Los signos cl\u00ednicos son causados por una interrupci\u00f3n en las v\u00edas\u00a0neuroanat\u00f3micas\u00a0ascendentes y descendentes en el plano transversal de la m\u00e9dula espinal, y produce un nivel sensorial que [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[2],"tags":[16,15,14,13,1295,1296,1297,1298],"class_list":["post-2446","post","type-post","status-publish","format-standard","hentry","category-neurology","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-mielitis","tag-myelitis","tag-transversa","tag-transverse"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2446","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2446"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2446\/revisions"}],"predecessor-version":[{"id":9349,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2446\/revisions\/9349"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2446"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2446"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2446"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}