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Transverse myelitis associated with herpes simplex virus infection.
E Galanakis1, S Bikouvarakis, D Mamoulakis
1Department of Pediatrics, University of Crete, Heraklion, Greece. egalanak@med.uoc.gr
Journal of Child Neurology
|December 6, 2001
Summary
A pediatric case of acute transverse myelitis linked to herpes simplex virus type 1 infection is detailed. The child experienced a full recovery with no recurrence over 30 months.
Area of Science:
- Neurology
- Pediatrics
- Infectious Diseases
Background:
- Acute transverse myelitis (ATM) is a rare neurological disorder affecting the spinal cord.
- Viral infections are a known trigger for ATM in children.
- Herpes simplex virus type 1 (HSV-1) is a common pathogen with potential neurological complications.
Observation:
- A 6-year-old boy presented with symptoms and signs consistent with acute transverse myelitis.
- Magnetic resonance imaging (MRI) confirmed the diagnosis of ATM.
- The patient had a preceding episode of gingivostomatitis.
Findings:
- Serological tests confirmed infection with herpes simplex virus type 1 (HSV-1).
- The child demonstrated gradual recovery from the myelitis.
- No relapses of ATM were observed during a 30-month follow-up period.
Implications:
- This case highlights HSV-1 as a potential cause of acute transverse myelitis in pediatric patients.
- Early diagnosis and management may lead to favorable outcomes.
- Understanding viral triggers is crucial for managing pediatric neurological conditions.