Cases reported "Myelitis"

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1/55. Poliomyelitic-like illness in central European encephalitis.

    Central European encephalitis (CEE) may be accompanied by myeloradiculitic symptoms in up to 5% of patients. The authors report six patients with a myelitic form of CEE mimicking acute poliomyelitis with bulbar and arm predominance and a poor prognosis. Three patients died. Of the survivors, only one can perform most activities of daily living, but still needs assisted ventilation at night. autopsy in one patient showed severe cervicothoracic inflammation with changes almost exclusively in anterior horn cells and roots, as typically seen in poliomyelitis.
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ranking = 1
keywords = encephalitis
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2/55. toxoplasma gondii myelitis in a patient with adult T-cell leukemia-lymphoma.

    adult T cell leukemia-lymphoma (ATL) caused by HTLV-I may be associated with severe immunosupression and several opportunistic infections. Toxoplasmic encephalitis is a common central nervous system opportunistic infection in severely immunosupressed patients, however spinal cord involvement by this parasite is rare. In this paper, we report a case of toxoplasmic myelitis in a patient with ATL.
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ranking = 0.2
keywords = encephalitis
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3/55. Concurrent myelitis and guillain-barre syndrome after varicella infection.

    Myelitis and guillain-barre syndrome occurring concurrently after varicella infection is very rare. A 34-year-old man presented with progressive flaccid tetraparesis, facial palsy, respiratory failure, sensory loss and urinary incontinence one week after varicella infection. Clinical, imaging and electrodiagnostic studies supported the diagnosis of myelitis and Guillain-Barre syndrome. He improved with intravenous acyclovir and gammaglobulin.
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ranking = 0.41557236806628
keywords = varicella
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4/55. Non-progressive viral myelitis in X-linked agammaglobulinemia.

    We report a 14-year-old boy with X-linked agammaglobulinemia (XLA) complicated by isolated non-progressive myelitis caused by Coxsackie virus B1. Despite the absence of immunoglobulin supplement and persistence of the virus for the initial 2 years, motor impairment did not show any progression for 3 years. This report shows that the prognosis of central nervous system infection in XLA is not determined by immunoglobulin levels alone, and that it is not always progressive or fatal. The balance between host immunity and the virulence of the causative virus may be involved in the prognosis of meningoencephalitis in XLA.
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ranking = 0.21304461736065
keywords = encephalitis, meningoencephalitis
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5/55. Human herpesvirus-7 infection of the CNS with acute myelitis in an adult bone marrow recipient.

    The beta-herpesviruses, human herpesviruses-6 and -7 (HHV-6 and HHV-7), are closely related and have very similar biological behaviour. While HHV-6 is associated with encephalitis in immunosuppressed adults, HHV-7 is not recognised as a cause of neurological disease in such patients. This report describes the identification of a reactivated HHV-7 infection in the cerebrospinal fluid of an adult who presented with an acute myelitis 11 months after unrelated donor bone marrow transplant.
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ranking = 0.49541353184241
keywords = encephalitis, herpes
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6/55. herpes zoster myelitis: report of two cases.

    Two male patients aged 40 and 45 years with hiv infection and paraplegia are presented. The two had sub-acute onset paraplegia with a sensory level, which developed 10 days after herpes zoster dermatomal rash. They both had asymmetrically involvement of the lower limbs. Investigation including imaging of the spinal cord did not reveal any other cause of the neurological deficit. The two responded very well to treatment with acyclovir. herpes zoster myelitis is a condition likely to rise with the upsurge of hiv infection and there is a need to identify the condition early. We also review the literature on the subject.
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ranking = 2.3445507334948
keywords = herpes zoster, zoster, herpes
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7/55. Recurrent herpes zoster myelitis treated with human interferon alpha: a case report.

    Recurrent herpes zoster myelitis is very rare. However, a case was recently observed in our hospital. A 43-year-old woman developed myelitis 2 weeks after development of shingles. Her condition was improved by methylprednisolone. Seven months later, she developed myelitis after development of shingles again. Antibody against varicella-zoster (VZV), increased in the serum, but was negative in the cerebrospinal fluid. methylprednisolone was not sufficiently effective against this attack. The refractory sensory disturbance was improved by human interferon alpha (IFN-alpha). Natural killer cell activity, the helper T-cell/suppressor T-cell ratio and the kappa/lambda ratio of B-cells increased with clinical improvement. In this case, delayed-type hypersensitivity after VZV infection played a role in the occurrence of myelopathy and clinical improvement resulted from the immunosuppressive effects of IFN-alpha.
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ranking = 4.867436239112
keywords = herpes zoster, zoster, varicella, herpes
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8/55. herpes zoster myelitis: MR appearance.

    The author describes a 71-year-old woman in whom cutaneous cervical herpes zoster was complicated by the development of cervical myelitis. T2-weighted MR showed two focal areas of hyperintensity in the cervical cord and suggested a slight enlargement at C2-C3 and C7.
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ranking = 2.0560265880903
keywords = herpes zoster, zoster, herpes
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9/55. Persistent multiple pulmonary nodules in a nonimmunocompromised woman after varicella-related myelitis treated with acyclovir.

    Persistent multiple pulmonary nodules were observed on the chest X ray of a nonimmunocompromised woman 6 months after she was treated with acyclovir for a varicella-related myelitis without respiratory symptoms. Early antiviral therapy given for varicella infections might decrease the intensity of clinical symptoms without actually preventing the occurrence of varicella-zoster virus-related lesions such as the persistent pulmonary nodules reported here.
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ranking = 0.77335857481509
keywords = zoster, varicella
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10/55. Cervical myelitis from herpes simplex virus type 1.

    Although subacute ascending paralysis without sensory involvement is typically evocative of guillain-barre syndrome, it can alternatively be due to infection or inflammation of the spinal cord. We describe a 16-month-old female who presented with ascending flaccid paresis after an upper respiratory tract infection. She then developed signs of upper motor neuron involvement of the lower limbs associated with upper motor neuron involvement of the upper limbs. Motor nerve conduction and electromyographic studies of upper limbs demonstrated anterior horn cell involvement. neuroimaging was consistent with cervical myelitis, and cerebrospinal fluid polymerase chain reaction was positive for herpesvirus-1. Although association with the primary infection of the respiratory tract may be fortuitous, possible neurotropic or hematogenous spread of herpesvirus-1 to the cervical spinal cord cannot be excluded. She then developed signs of upper motor neuron involvement of the lower limbs associatred with lower motor neuron involvement of the upper limbs [corrected].
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ranking = 0.29541353184241
keywords = herpes
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