TY - JOUR
T1 - Atypical transverse myelitis due to cytomegalovirus in an immunocompetent patient
AU - Rigamonti, A.
AU - Usai, S.
AU - Ciusani, E.
AU - Bussone, G.
PY - 2005/12
Y1 - 2005/12
N2 - Cytomegalovirus (CMV)-associated transverse myelitis is rare in immunocompetent patients. We report a 73-year-old man with no evidence of immune compromise, who developed acute transverse myelitis. Cerebrospinal fluid pleocytosis indicated central nervous system inflammation, and spinal MRI showed weak signal hypointensity in T1, hyperintensity in T2 and DP between C7 and T2, but no contrast enhancement. High CSF anti- CMV IgG index with normal CSF IgG index indicated intact blood-brain barrier, and supported the diagnosis of CMV-induced myelitis in an immunocompetent patient.
AB - Cytomegalovirus (CMV)-associated transverse myelitis is rare in immunocompetent patients. We report a 73-year-old man with no evidence of immune compromise, who developed acute transverse myelitis. Cerebrospinal fluid pleocytosis indicated central nervous system inflammation, and spinal MRI showed weak signal hypointensity in T1, hyperintensity in T2 and DP between C7 and T2, but no contrast enhancement. High CSF anti- CMV IgG index with normal CSF IgG index indicated intact blood-brain barrier, and supported the diagnosis of CMV-induced myelitis in an immunocompetent patient.
KW - Cytomegalovirus
KW - Immunocompetent patient
KW - Transverse myelitis
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U2 - 10.1007/s10072-005-0506-6
DO - 10.1007/s10072-005-0506-6
M3 - Article
C2 - 16388372
AN - SCOPUS:30744440900
SN - 1590-1874
VL - 26
SP - 351
EP - 354
JO - Neurological Sciences
JF - Neurological Sciences
IS - 5
ER -