[Adenovirus myelitis and Epstein-Barr myelitis: two unusual viral causes with similar presentations].
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.
Breteau
G
G
Clinique Neurologique, Hôpital Roger Salengro.
Stojkovic
T
T
De Seze
J
J
Gauvrit
J
J
Pruvo
J
J
Vermersch
P
P
D000257:Adenoviridae Infections / Q000175:diagnosis*; D000328:Adult; D020031:Epstein-Barr Virus Infections / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use*; D018696:Neuroprotective Agents / Q000627:therapeutic use*; D013118:Spinal Cord Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000821:virology*; D016896:Treatment Outcome
D018696:Neuroprotective Agents; D008775:Methylprednisolone