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

Luiz Fernando Fonseca, Thelma Ribeiro Noce, Maria Letícia Gambogi Teixeira, Antônio Lúcio Teixeira, Marco Aurélio Lana-Peixoto

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)265-268
Number of pages4
JournalArquivos de neuro-psiquiatria
Volume61
Issue number2 A
DOIs
StatePublished - Jun 2003
Externally publishedYes

Keywords

  • Acute transverse myelitis
  • Childhood
  • Hepatitis B vaccination
  • Respiratory infection

ASJC Scopus subject areas

  • Clinical Neurology
  • Biological Psychiatry

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