Fonseca Luiz Fernando, Noce Thelma Ribeiro, Teixeira Maria Letícia Gambogi, Teixeira Antônio Lúcio, Lana-Peixoto Marco Aurélio
Centro Geral de Pediatria, FHEMIG, Belo Horizonte, MG, Brasil.
Arq Neuropsiquiatr. 2003 Jun;61(2A):265-8. doi: 10.1590/s0004-282x2003000200020. Epub 2003 Jun 9.
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.
急性横贯性脊髓炎是脊髓的一种急性炎症性疾病，是儿童期罕见的临床综合征。本文报告一例3岁男孩，在发生病毒性呼吸道感染和接种乙肝疫苗后急性起病出现四肢瘫。脊髓磁共振成像显示C4至C3节段信号强度异常。诊断为急性横贯性脊髓炎，患者接受了静脉注射甲泼尼龙和静脉注射免疫球蛋白治疗。尽管病程非常急且存在颈髓感觉平面（通常预后较差），但该患儿预后良好。
