Myelitis (AFM) (AFM) Fact Fact Sheet Sheet Acute flaccid myelitis AFM is only one of a number of conditions that can result Acute (AFM) is aflaccid condition myelitis (AFM) isillness in neurologic a condition that affects with limb weakness. the Oftentimes, that affects the however, a cause for AFM cannot be identified. nervous system, specifically the spinal cord, which can nervous system, result from specifically How the a variety is AFM treated? of causes. Practicing good hygiene is one cord, spinal waywhichto protectThere yourself and your is no specific treatmentfamily from for AFM, butdiseases a doctor who can result from a specializes in treating brain and spinal cord illnesses that can cause AFM. variety of causes. (neurologist) may recommend certain interventions on a Practicing good case-by-case basis. What are the symptoms hygiene of AFM? is one way How If you or youris AFM child istreated? having problems walking or to protect yourself and your family Most patients will have sudden onset of limb from diseases weakness standing, There isorno develop specificsudden treatment weakness for AFM, in anbutarm or leg, a doctor that can cause AFM. contact your doctorinright away.brain and spinal cord and loss of muscle tone and reflexes. Some patients who specializes treating may also experience illnesses (neurologist) may recommend certain What are the symptoms of AFM? How can I prevent AFM? interventions on a case-by-case basis. facial droop/weakness, Being up to date on all recommended vaccinations, Most patients difficulty will have moving sudden onset of limb the eyes, How can including I prevent poliovirus, is one way AFM?to protect yourself and weakness and loss of muscle tone and reflexes. your family from diseases that can cause AFM. Check drooping eyelids, or Being up to date on all recommended vaccinations, Some patients may also experience with your doctor to make sure your family is up to dateand including poliovirus, is one way to protect yourself • facial droop/weakness, difficulty with swallowing or slurred speech. onyourall recommended family from diseasesvaccines. that can cause AFM. Check Rare • difficulty symptoms include moving the numbness eyes, or tingling in the Youwith canyour protectdoctor to make yourself fromsure your family isviruses mosquito-borne up to date limbs and being unable to pass urine. In rare cases, a • drooping eyelids, or such on all as recommended West Nile vaccines. virus—another known cause of AFM— patient may have difficulty breathing due to muscle by You using mosquito repellent and staying indoors at dusk • difficulty weakness andwith swallowing require urgentorventilator slurred speech. support. andsuch can protect yourself from mosquito-borne viruses dawn, whichNileis the prime period known that mosquitoes as West virus—another cause of IfRare yousymptoms or your childinclude numbness develops any ofor tingling these in the symptoms, bite. Remove standing or stagnant AFM— by using mosquito repellent and water from nearby staying limbs you and being should unable to seek medical pass care urine. right In rare cases, a away. property to minimize the number of mosquitoes. indoors at dusk and dawn, which is the prime period patient may have difficulty breathing due to muscle Youthat canmosquitoes help protectbite. yourselves Removefrom other or standing known stagnant weakness How and require is AFM urgent ventilator support. diagnosed? causes water offrom AFM nearby by— property to minimize the number of A doctor can tell the difference between AFM and Howdiseases other is AFMwith diagnosed? a careful examination of the •mosquitoes. washing your hands often with soap and water, nervous A doctorsystem can telland the the spinal cord, difference betweenlooking AFMatandthe •While we don’t avoiding closeknow if it is contact witheffective in preventing sick people, and AFM, you can— location of the with other diseases weakness, muscle a careful tone, and examination ofreflexes. the • cleaning surfaces with a disinfectant, especially Magnetic resonance imaging (MRI), nervous system, looking at the location of the lab testing of the wash surfacesyourthat hands often a sick personwithhas soap and water, touched. cerebrospinal weakness, muscle fluid,tone, and and checking reflexes.nerve conduction Magnetic avoid Washing close your contact hands with sick the right way people, is one ofand the best and response resonance can be(MRI) imaging verycan helpful be veryin diagnosing helpful in cases things you and your children can do to protect against clean surfaces with a disinfectant, especially surfaces of AFM. diagnosing cases of AFM. getting sick. Wash your hands often, and especially— that a sick person has touched. What causes AFM? What causes AFM? • before your Washing you touch handsfood; the right way is one of the best AFM can be caused by a variety of germs, including AFM can be caused by a variety of germs, including •things afteryou going toyour and the bathroom, blowing children can your nose, do to protect against several viruses: changing getting sick.aWash baby’s diaper, your handsor often, touching andan animal, an especially— several viruses: enteroviruses (polio and non-polio), animal’s food, urine or feces; and before you touch food; • enteroviruses (polio and non-polio), • after before and after taking care of a sick person or a cut going to the bathroom, blowing your nose, • West Nile virus (WNV) and viruses in the same or wound. family as WNV, specifically Japanese encephalitis changing a baby’s diaper, or touching an animal, an virus and Saint Louis encephalitis virus, animal’s food, urine or feces; and adenoviruses. For more information on acute flaccid myelitis, • herpesviruses, such as cytomegalovirus and before and after taking care of a sick person or a cut visit: www.cdc.gov/acute-flaccid-myelitis. Epstein-Barr Environmental virus, toxins and and genetic disorders may or wound. also cause AFM. AFM • adenoviruses. is only one of a number of For more information on acute flaccid myelitis, visit conditions that can result in neurologic illness with www.cdc.gov/acute-flaccid-myelitis. limb weakness. Oftentimes, however, a cause for AFM Last Review Date Feb 2016 cannot be identified. U.S. De National National Center Center for for Immunization Immunization and and Respiratory Respiratory Diseases Diseases Health Centers Division Division of of Viral Viral Diseases Diseases Control CS252563A NCIRDig 06/25/18