Longitudinally extensive transverse myelitis (LETM) following varicella infection in a 13-year immunocompetent child: A case report
Iranian Journal of Child Neurology,
Vol. 13 No. 1 (2019),
1 January 2019
,
Page 121-126
https://doi.org/10.22037/ijcn.v13i1.16640
Abstract
Varicella infection in children is a common self-limited illness with neurological complications in less than 0.1% of cases. Longitudinally extensive transverse myelitis (LETM) is uncommon in children following infection with varicella zoster virus. We describe a case of 13-year immunocompetent girl with LETM following varicella infection that had shown a dramatic clinical response to a combination of acyclovir and pulse steroids.
- Transverse myelitis
- varicella
- chickenpox
How to Cite
References
Swaiman KF, Ashwal S, Ferriero DM, Schor NF. Swaiman’s Pediatric Neurology: Principles and Practice. Elsevier Health Sciences; 2011. 2295 p.
Aslan A, Kurugol Z, Gokben S. Acute transverse myelitis complicating breakthrough varicella infection. Pediatr Infect Dis J. 2014 Nov;33(11):1196–8.
LaRovere KL, Raju GP, Gorman MP. Postvaricella acute transverse myelitis in a previously vaccinated child. Pediatr Neurol. 2008 May;38(5):370–2.
Mirbagheri S, Eckart Sorte D, Zamora CA, Mossa-Basha M, Newsome SD, Izbudak I. Evaluation and management of longitudinally extensive transverse myelitis: a guide for radiologists. Clin Radiol. 2016 Oct;71(10):960–71.
Lee JE, Lee S, Kim KH, Jang HR, Park YJ, Kang JS, et al. A Case of Transverse Myelitis Caused by Varicella Zoster Virus in an Immunocompetent Older Patient. Infect Chemother. 2016 Nov 11;
Zijdewind JM, Dijkmans AC, Purmer IM, Treurniet F, Wirtz PW. An aggressive case of PCR negative varicella zoster virus induced transverse myelitis. Neurol Sci Off J Ital Neurol Soc Ital Soc Clin Neurophysiol. 2014 Jun;35(6):961–3.
Hung C-H, Chang K-H, Kuo H-C, Huang C-C, Liao M-F, Tsai Y-T, et al. Features of varicella zoster virus myelitis and dependence on immune status. J Neurol Sci. 2012 Jul 15;318(1–2):19–24.
Markh A, Wainapel S. Transverse Myelitis and Syrinx Formation Caused by Varicella-Zoster Infection. Am J Phys Med Rehabil. 2016 Jan;95(1):e12-13.
Celik Y, Tabak F, Mert A, Celik AD, Aktuğlu Y. Transverse myelitis caused by Varicella. Clin Neurol Neurosurg. 2001 Dec;103(4):260–1.
Heerlein K, Jarius S, Jacobi C, Rohde S, Storch-Hagenlocher B, Wildemann B. Aquaporin-4 antibody positive longitudinally extensive transverse myelitis following varicella zoster infection. J Neurol Sci. 2009 Jan 15;276(1–2):184–6.
- Abstract Viewed: 328 times