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. 2012 Jul;16(3):283-5.

Idiopathic acute transverse myelitis: Complete recovery after intravenous immunoglobulin

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Idiopathic acute transverse myelitis: Complete recovery after intravenous immunoglobulin

E Pavlou et al. Hippokratia. 2012 Jul.

Abstract

Idiopathic acute transverse myelitis is a focal inflammatory disorder of the spinal cord of unknown etiology diagnosed according to established criteria. As it occurs rarely in children herein we report a case of a 4 year old boy who developed clinical and radiological manifestations of myelitis, 10 days after a recent respiratory tract infection. Diagnostic workup failed to reveal a causative factor. After the administration of corticosteroids a clinical deterioration was observed and intravenous immunoglobulin was administered. Symptoms resolved within a 48-hour period, suggesting an immune-mediated pathogenetic mechanism.

Keywords: acute transverse myelitis; children; idiopathic; intravenous immunoglobulin.

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Figures

Figure 1
Figure 1. Spinal magnetic resonance imaging (MRI) exhibiting high T2 signal and swelling extending from A2 to A5.
Figure 2
Figure 2. New spinal MRI scan four weeks later showing complete resolution of the lesion.

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