特发性急性横贯性脊髓炎：静脉注射免疫球蛋白后完全康复。
Idiopathic acute transverse myelitis: Complete recovery after intravenous immunoglobulin.
作者信息
Pavlou E, Gkampeta A, Kouskouras K, Evangeliou A, Athanasiadou-Piperopoulou F
机构信息
2 Department of Pediatrics, Aristotle University of Thessaloniki, "AHEPA'' Hospital.
出版信息
Hippokratia. 2012 Jul;16(3):283-5.
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.
摘要
特发性急性横贯性脊髓炎是一种病因不明的脊髓局灶性炎症性疾病，根据既定标准进行诊断。由于其在儿童中很少见，我们在此报告一例4岁男孩，在近期呼吸道感染10天后出现脊髓炎的临床和影像学表现。诊断性检查未能发现病因。给予皮质类固醇后观察到临床病情恶化，随后给予静脉注射免疫球蛋白。症状在48小时内缓解，提示免疫介导的发病机制。
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