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

Arquivos de Neuro-Psiquiatria

Luiz Fernando Fonseca²  Thelma Ribeiro Noce²  Maria Letícia Gambogi Teixeira²  Antônio Lúcio Teixeira Jr¹  Marco Aurélio Lana-peixoto¹ 

[1] ,FHEMIG Centro Geral de Pediatria Belo Horizonte MG ,Brasil

关键词: acute transverse myelitis;    childhood;    hepatitis B vaccination;    respiratory infection;    mielite transversa aguda;    infância;    vacinação;    hepatite B;    infecção viral respiratória;   

DOI  :  10.1590/S0004-282X2003000200020

来源: SciELO

【 摘 要 】

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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