id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-302862-znnlyz3y	Lim, Peter A.C.	Transverse Myelitis	2019-04-17		.txt	text/plain	4781	254	38	Following the acute management, which may include use of steroids, immunosuppressive drugs, and plasma exchange, a comprehensive medical rehabilitation program is important to optimize recovery from the resultant impairments and disabilities and manage associated complications. Factors associated with poor outcomes include severe initial symptoms with spinal shock, delayed presentation to the hospital after maximum deficits have already occurred, development of syringomyelia, and extensive MRI lesions. Patients with TM may present in the ambulatory clinic, urgent care center, or hospital setting with complaints of weakness of the limbs, sensory impairments, pain, and difficulties with the bowel and bladder. The functional limitations in a patient with TM usually depend on the level of spinal cord involvement and corresponding muscles affected. Effective management of intractable neuropathic pain using an intrathecal morphine pump in a patient with acute transverse myelitis	./cache/cord-302862-znnlyz3y.txt	./txt/cord-302862-znnlyz3y.txt