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[Adenovirus myelitis and Epstein-Barr myelitis: two unusual viral causes with similar presentations]
G Breteau1, T Stojkovic, J De Seze
1Clinique Neurologique, Hôpital Roger Salengro.
Revue Neurologique
|September 19, 2000
Abstract:
We report two cases of viral myelitis, one associated with adenovirus and the other with Epstein-Barr virus. The clinical presentation and course were similar, with viral illness, paraplegia with a D4 sensory level, and fever. Spinal magnetic resonance imaging showed a T2 cervico-dorsal high intensity signal. Cerebrospinal fluid examination showed pleocytosis without oligoclonal bands. Both patients recovered after treatment with high-dose methylprednisolone. These two cases suggest a similar clinical and paraclinical pattern in viral transverse myelitis. Moreover, treatment with corticosteroids seems to be useful in viral myelitis.