Transverse myelitis is an autoimmune neurological disorder of the spinal cord that affects individuals of all age groups, including infants.
To report priapism as a unique clinical manifestation of infantile transverse myelitis.
Transverse Myelitis Center at Johns Hopkins, Johns Hopkins Hospital, Baltimore, Maryland.
Three infants younger than 12 months.
Intravenous corticosteroids, intravenous immunoglobulin, physical therapy, and rehabilitation.
Main Outcome Measure
Clinical outcomes in infants with priapism and transverse myelitis.
All 3 infants demonstrated rapidly progressive quadriplegia that resulted in substantial disability and proved fatal for 1 infant.
Priapism in infants with transverse myelitis may be an indication of severe inflammation and neural injury that necessitates immediate and aggressive treatment.