An 11-year-old boy presented with inability to move his right arm, back and neck pain, and fever. He has a history of recurrent vesicular rash on his face three times over the past two years. Magnetic resonance imaging (MRI) showed diffuse expansile cervical cord, leading to a diagnosis of transverse myelitis. After 3 days of intravenous solumedrol, the patient was discharged, but returned the following day with a vesicular rash to the right arm, as well as vomiting, malaise and diffuse pruritus.Wright-Giemsa stain of the vesicles revealed herpes group virus and culture was positive for herpes simplex type 1.
Nakajimam H. , Furutama D., Kimura F., et al. Herpes simplex virus myelitis: clinical manifestations and diagnosis by the polymerase chain reaction method. Eur Neurol. 1998; 39:163-167.
4.
Dufresne P., Hollenberg H., Husson B., et al. Acute transverse myelitis in children: clinical course and prognostic factors. J Child Neurol. 2003;18:401-407.
5.
Lahat EL, Pillar G., Ravid S., Barzilai A., Etzioni A., Shahar E.Rapid recovery from transverse myelopathy in children treated with methylprednisolone . Pediatr Neurol. 1998;19:279-282.
