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

Author:

Fonseca Luiz Fernando1,Noce Thelma Ribeiro1,Teixeira Maria Letícia Gambogi1,Teixeira Jr Antônio Lúcio2,Lana-Peixoto Marco Aurélio3

Affiliation:

1. FHEMIG, Brasil

2. Universidade Federal de Minas Gerais, Brasil

3. Universidade Federal de Minas Gerais; Universidade Federal de Minas Gerais

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.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Neurology (clinical)

Reference20 articles.

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3. Principles of Neurology;Victor M,2001

4. Spinal cord schistosomiasis: a report of 2 cases and review emphasazing clinical aspects;Ferrari TCA;Medicine,1999

5. Schistosomal myeloradiculopathy due to Schistosoma mansoni: report on 23 cases;Nobre V;Mem Inst Oswaldo Cruz,2001

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