Journal of Neurology (2018) 265:1463–1465 https://doi.org/10.1007/s00415-018-8879-7 LE T TER TO THE EDITORS To start immune therapy or not? An unusual presentation of longitudinally extensive transverse myelitis with pyrexia 1,2 1,2 1,3 1,2 E. Rounis · M. I. Leite · P. M. Pretorius · A. Sen Received: 22 February 2018 / Revised: 19 April 2018 / Accepted: 22 April 2018 / Published online: 3 May 2018 © Springer-Verlag GmbH Germany, part of Springer Nature 2018 Keywords Transverse myelitis · Neuro-myelitis optica spectrum disorders · MOG-antibodies Dear Sirs, beta2 microglobulin, rheumatoid factor, complement levels and serum angiotensin converting enzyme were normal or We present the case of a patient with rapidly progressive negative. transverse myelitis and fevers. Initial cerebrospinal ui fl d (CSF) analysis revealed a white A 26-year-old man, with no recent history of illnesses or cell count of 379 × 10 (90% lymphocytes, 10% polymorphs; foreign travel, was transferred to the John Radcliffe Hospital there were 356 × 10 red cells). No organisms were grown. in Oxford with a 5-day history of bladder disturbance and The CSF protein was marginally elevated at 600 mg/L. CSF loss of perineal sensation, followed by ascending sensorimo- glucose was normal. Oligoclonal IgG bands were paired tor deficits, beginning in his legs and spreading to his
Journal of Neurology – Springer Journals
Published: May 3, 2018
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