CRCSEP Côte d'Azur, CHU de Nice Pasteur 2, Université Nice Côte d'Azur, 30 voie Romaine, 06100 Nice, France.
Rev Neurol (Paris). 2019 Sep-Oct;175(7-8):464-468. doi: 10.1016/j.neurol.2019.07.001. Epub 2019 Jul 30.
Infectious pathogens can directly affect the spinal cord or trigger autoimmune reactions, which may result in permanent damage to cord structures. The most common aetiology comes from virus but depend on age, location of the patient and co-morbidities. Acute Flaccid paralysis and acute transverse myelitis are considered as emergencies. Differential diagnosis is mainly relapses of autoimmune diseases, which can mimic infectious myelopathies.
传染性病原体可直接影响脊髓或引发自身免疫反应,从而可能对脊髓结构造成永久性损伤。最常见的病因是病毒,但取决于患者的年龄、位置和合并症。急性弛缓性麻痹和急性横贯性脊髓炎被视为急症。鉴别诊断主要是自身免疫性疾病的复发,这些疾病可能模仿感染性脊髓病。