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

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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.

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Fonseca, L. F., Noce, T. R., Teixeira, M. L. G., Teixeira, A. L., & Lana-Peixoto, M. A. (2003). Early-onset acute transverse myelitis following hepatitis B vaccination and respiratory infection: Case report. Arquivos de Neuro-Psiquiatria, 61(2 A), 265–268. https://doi.org/10.1590/S0004-282X2003000200020

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