Abstract
Thoracic disc herniations are commonly found in asymptomatic individuals, sometimes with genetic predisposition. Congenital fusions of cervical vertebrae occur in Klippel-Feil syndrome, which may be asymptomatic or cause compressive myelitis due to cervical instability or associated herniated discs. We report the case of a 72-year-old man with monophasic acute transverse myelitis probably caused by herpes simplex virus, coexistent with fused cervical vertebrae (C4-C5) and thoracic herniated discs. Establishment of the aetiology in cases of transverse acute myelitis can constitute a challenge in patients with cervical spine anomaly and disc herniations.
MeSH terms
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Acyclovir / therapeutic use
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Aged
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Antibodies, Viral / blood
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Antibodies, Viral / immunology
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Antiviral Agents / therapeutic use
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Cervical Vertebrae
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Herpes Simplex / complications*
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Herpes Simplex / diagnosis
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Herpes Simplex / drug therapy
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Herpes Simplex / immunology
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Herpesvirus 1, Human / immunology
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Herpesvirus 2, Human / immunology
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Humans
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Immunoglobulin G / blood
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Immunoglobulin G / immunology
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Immunoglobulin M / blood
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Immunoglobulin M / immunology
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Intervertebral Disc Displacement / complications*
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Intervertebral Disc Displacement / diagnosis
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Klippel-Feil Syndrome / complications*
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Klippel-Feil Syndrome / diagnosis
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Magnetic Resonance Imaging
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Male
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Myelitis, Transverse / diagnosis
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Myelitis, Transverse / etiology*
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Myelitis, Transverse / immunology
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Remission Induction
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Thoracic Vertebrae*
Substances
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Antibodies, Viral
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Antiviral Agents
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Immunoglobulin G
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Immunoglobulin M
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Acyclovir