Masson M, Graveleau P, Lubetzki C
Rev Neurol (Paris). 1984;140(3):224-5.
Two cases of a very rare complication of rubella i.e. a strictly spinal cord lesion developing during the course of the viral infection, are reported. In the first case, there was a flaccid paraplegia which incompletely regressed after two months. In the second case there were only sensory disorders and sphincter disturbances and recovery was complete after one month. The post-eruption encephalomyelitis lesions are of uncertain paphogenesis but the most common hypothesis suggested is that of a delayed hypersensitivity mechanism involving a cell-mediated immunologic reaction. The prognosis of these post-injection neurologic manifestations is difficult to assess, but spinal cord lesions could have a good prognosis.
报告了两例风疹非常罕见的并发症，即在病毒感染过程中出现的严格局限于脊髓的病变。第一例为弛缓性截瘫，两个月后部分恢复。第二例仅有感觉障碍和括约肌功能紊乱，一个月后完全恢复。出疹后脑脊髓炎病变的发病机制尚不确定，但最常见的假说是涉及细胞介导免疫反应的迟发型超敏反应机制。这些注射后神经系统表现的预后难以评估，但脊髓病变可能预后良好。
