MRI of Enterovirus 71 myelitis with monoplegia.
We report two boys diagnosed as having herpangina and hand-foot-mouth disease complicated by monoplegia during the outbreak enterovirus infection in Taiwan in 1998. Enterovirus 71 was identified in the stool and throat swab; neither polio nor Coxsackie viruses was identified. MRI showed unilateral lesions in the anterior horns of the spinal cord at T11-12 and C2-5. Although the MRI findings and sites of these lesions were similar to those of poliovirus-associated poliomyelitis, the virological data indicated that these boys were infected with enterovirus type 71.
Shen
W C
WC
Department of Radiology, and School of Medicine, China Medical College, China Medical College Hospital, No. 2 Yuh-Der Road, 407 Taichung, Taiwan, Republic of China. wschen@ficnet.net
Tsai
C
C
Chiu
H
H
Chow
K
K
D003937:Diagnosis, Differential; D004770:Enterovirus / Q000145:classification; D004769:Enterovirus Infections / Q000175:diagnosis*; D005243:Feces / Q000821:virology; D005500:Follow-Up Studies; D006232:Hand, Foot and Mouth Disease / Q000175:diagnosis; D006429:Hemiplegia / Q000821:virology*; D006557:Herpangina / Q000175:diagnosis; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D009187:Myelitis / Q000821:virology*; D010614:Pharynx / Q000821:virology