A Case of Poliomyelitis-like Syndrome with Typical Abnormalities in MRI

자기공명영상에서 전형적인 이상 소견을 보인 소아마비양 증후군 환자 1예

  • Kim, Seok-Il (Department of Neurology, Eulji General Hospital, Eulji University School of Medicine) ;
  • Koo, Ja-Seong (Department of Neurology, Eulji General Hospital, Eulji University School of Medicine) ;
  • Yoon, Doo-Sang (Department of Neurology, Eulji General Hospital, Eulji University School of Medicine) ;
  • Kim, Byung-Kun (Department of Neurology, Eulji General Hospital, Eulji University School of Medicine) ;
  • Bae, Hee-Joon (Department of Neurology, Eulji General Hospital, Eulji University School of Medicine)
  • 김석일 (을지대학교 의과대학 노원을지병원 신경과학교실) ;
  • 구자성 (을지대학교 의과대학 노원을지병원 신경과학교실) ;
  • 윤두상 (을지대학교 의과대학 노원을지병원 신경과학교실) ;
  • 김병건 (을지대학교 의과대학 노원을지병원 신경과학교실) ;
  • 배희준 (을지대학교 의과대학 노원을지병원 신경과학교실)
  • Published : 2002.05.01

Abstract

A 28-year-old man presented with headache, fever, and myalgia. Subsequently, rapidly progressive quadriplegia with areflexia developed. CSF examination revealed moderate pleocytosis and protein elevation. MRI of brain and spinal cord showed hyperintense lesions on T2-weighted image at midbrain and ventral horns along the whole spinal cord. Serial serologic examinations of CSF for Epstein-Barr virus and cytomegalovirus were negative. Culture and neutralization tests of stool and CSF for enterovirus were negative. Although the etiologic pathogen was not identified, we diagnosed him as poliomyelitis-like syndrome by clinical features and findings of MRI.

Keywords