Early-onset acute transverse myelitis following hepatitis B vaccination and respiratory infection: case report

Autor: Luiz Fernando Fonseca, Thelma Ribeiro Noce, Maria Letícia Gambogi Teixeira, Antônio Lúcio Teixeira Jr, Marco Aurélio Lana-Peixoto
Jazyk: angličtina
Rok vydání: 2003
Předmět:
Zdroj: Arquivos de Neuro-Psiquiatria, Vol 61, Iss 2A, Pp 265-268 (2003)
Druh dokumentu: article
ISSN: 1678-4227
0004-282X
DOI: 10.1590/S0004-282X2003000200020
Popis: Acute transverse myelitis is an acute inflammatory process of the spinal cord and it is a rare clinical syndrome in childhood. In this paper, we report a case of 3 years-old boy who developed acute onset tetraparesia following a viral respiratory infecction and hepatitis B vaccination. Magnetic resonance imaging of the spinal cord disclosed signal-intensity abnormalities from C4 to C3. A diagnosis of acute transverse myelitis was made and the patient was treated with IV methylprednisolone and IV immunoglobulin. The child had a fair outcome despite of the very acute course of the disease and the presence of a cervical sensory level which usually harbor a poor prognosis.
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