Abstract | PURPOSE: CASE REPORT: This patient developed acute weakness of lower limbs, which then rapidly became tetraplegia and hyporeflexia within 5 days. She also had impaired pinprick and vibration sensations below T4, as well as urinary and defecation incontinence. The nerve conduction studies revealed a motorsensory axonal neuropathy. Cerebrospinal fluid analysis showed albuminocytological dissociation and elevated IgG index. The spinal magnetic resonance imaging study revealed heterogeneously contrastenhanced, long-segmental intramedullary lesion from C2 to T3. Other laboratory findings, including blood anti-aquaporin 4 antibody, were not remarkable. The patient's tetraplegia was gradually improved by plasmapheresis and methylprednisolone pulse therapy. CONCLUSION:
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Authors | Ching-I Wu, Chia-Lun Wu, Kuo-Hsuan Chang, Wen-Yi Huang |
Journal | Acta neurologica Taiwanica
(Acta Neurol Taiwan)
Vol. 29(1)
Pg. 12-17
(Mar 30 2020)
ISSN: 1028-768X [Print] China (Republic : 1949- ) |
PMID | 32285429
(Publication Type: Case Reports, Journal Article)
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Topics |
- Aged
- Female
- Guillain-Barre Syndrome
- Humans
- Magnetic Resonance Imaging
- Myelitis, Transverse
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