Acute flaccid myelitis: A clinical review of US cases 2012-2015

This review highlights clinical features of the increasing cases of acute flaccid paralysis associated with anterior myelitis noted in the United States from 2012 to 2015. Acute flaccid myelitis refers to acute flaccid limb weakness with spinal cord gray matter lesions on imaging or evidence of spin...

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Veröffentlicht in:Annals of neurology 2016-09, Vol.80 (3), p.326-338
Hauptverfasser: Messacar, Kevin, Schreiner, Teri L., Van Haren, Keith, Yang, Michele, Glaser, Carol A., Tyler, Kenneth L., Dominguez, Samuel R.
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container_end_page 338
container_issue 3
container_start_page 326
container_title Annals of neurology
container_volume 80
creator Messacar, Kevin
Schreiner, Teri L.
Van Haren, Keith
Yang, Michele
Glaser, Carol A.
Tyler, Kenneth L.
Dominguez, Samuel R.
description This review highlights clinical features of the increasing cases of acute flaccid paralysis associated with anterior myelitis noted in the United States from 2012 to 2015. Acute flaccid myelitis refers to acute flaccid limb weakness with spinal cord gray matter lesions on imaging or evidence of spinal cord motor neuron injury on electrodiagnostic testing. Although some individuals demonstrated improvement in motor weakness and functional deficits, most have residual weakness a year or more after onset. Epidemiological evidence and biological plausibility support an association between enterovirus D68 and the recent increase in acute flaccid myelitis cases in the United States. Ann Neurol 2016;80:326–338
doi_str_mv 10.1002/ana.24730
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Child
Enterovirus
Enterovirus D, Human - pathogenicity
Enterovirus Infections - complications
Enteroviruses
Epidemiology
Humans
Motor Neurons - pathology
Myelitis
Myelitis - diagnostic imaging
Myelitis - etiology
Myelitis - physiopathology
Paralysis
Paralysis - diagnostic imaging
Paralysis - etiology
Paralysis - physiopathology
Spinal cord
Spinal cord injuries
Substantia grisea
United States
Vaccines
title Acute flaccid myelitis: A clinical review of US cases 2012-2015
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