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Arq Neuropsiquiatr. 2003 Jun;61(2A):265-8. Epub 2003 Jun 9.

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

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Centro Geral de Pediatria, FHEMIG, Belo Horizonte, MG, Brasil.


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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