TY - JOUR
T1 - Early-onset acute transverse myelitis following hepatitis B vaccination and respiratory infection
T2 - Case report
AU - Fonseca, Luiz Fernando
AU - Noce, Thelma Ribeiro
AU - Teixeira, Maria Letícia Gambogi
AU - Teixeira, Antônio Lúcio
AU - Lana-Peixoto, Marco Aurélio
PY - 2003/6
Y1 - 2003/6
N2 - 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.
AB - 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.
KW - Acute transverse myelitis
KW - Childhood
KW - Hepatitis B vaccination
KW - Respiratory infection
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U2 - 10.1590/S0004-282X2003000200020
DO - 10.1590/S0004-282X2003000200020
M3 - Article
C2 - 12806509
AN - SCOPUS:0038360950
SN - 0004-282X
VL - 61
SP - 265
EP - 268
JO - Arquivos de neuro-psiquiatria
JF - Arquivos de neuro-psiquiatria
IS - 2 A
ER -