Episodic spastic paraparesis successfully treated with unaided blood transfusions: a case report

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From: BMC Research Notes(Vol. 9, Issue 123)
Publisher: BioMed Central Ltd.
Document Type: Report
Length: 1,375 words
Lexile Measure: 1330L

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Abstract :

Background Extramedullary haemopoiesis is a common compensatory phenomenon in most haemolytic anaemias. However, spinal cord compression due to extramedullary spinal epidural haemopoiesis is an extremely rare complication of thalassemia. In such situation patients present with paraplegia with a sensory level. Usual treatment options are surgery and/or radiotherapy. Case presentation Here we report a 27 year old Sri Lankan Muslim male with haemoglobin E-Beta thalassaemia presented with episodic spastic paraparesis when he was anaemic which was dramatically responded to blood transfusion therapy. Conclusion Most of the reported cases with paraplegia have been treated with surgery with or without radiation therapy or radiation therapy alone. Our patient makes dramatic recovery after blood transfusion in each presentation. Keywords: Thalassaemia, Haemoglobin E, Paraplegia, Extramedullary haemopoiesis

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Gale Document Number: GALE|A444333706