CAS Registry/EC Number: 0 (Organometallic Compounds)
CAS Registry/EC Number: 67-43-6 (DTPA)
CAS Registry/EC Number: 80529-93-7 (gadolinium DTPA)
Language: Eng
Country: GERMANY
Journal Code: END
Indexing Priority: 2
Journal Subset: M
MeSH Headings: Acute Disease ; Adolescence ; Case Report ; DTPA/analogs &
derivatives/diagnostic use ; Echovirus
Infections/complications/pathology/*virology ; Human ; Magnetic Resonance
Imaging ; Male ; Myelitis, Transverse/complications/pathology/*virology ;
Organometallic Compounds/diagnostic use ; Polymerase Chain Reaction/methods ;
Quadriplegia/*virology ; Urinary Retention/etiology ;
DATE: 1995 May
Abstract
A 14-year-old boy developed acute quadriplegia, associated with sensory
impairment and bowel and urinary dysfunction. MRI of the cervical cord showed
diffuse increased signal intensity on T2-weighted images with gadolinium-
diethylenetriamine penta-acetic acid enhancement. Based on the clinical
presentation and MRI findings, the diagnosis of acute transverse myelitis was
made. Enterovirus RNA was amplified from CSF by the reverse transcriptase-
polymerase chain reaction. Serum neutralizing antibody to ECHO virus type 18
rose from 1/4 on admission to 1/16 2 months later. Conclusion: This is the
first reported case of acute transverse myelitis caused by ECHO virus type 18
infection.
Takahashi S ; Miyamoto A ; Oki J ; Azuma H ; Okuno A ;
Department of Paediatrics, Asahiwaka Medical College, Japan.