Rhombencephalitis and Myeloradiculitis Caused by a European Subtype of Tick-Borne Encephalitis Virus
Lorna Neill, Anna M. Checkley, Laura A. Benjamin
, M. Trent Herdman, Daniel P. Carter, Steven T. Pullan, Emma Aarons, Katie Griffiths, Bernadette Monaghan, Kushan Karunaratne, Olga Ciccarelli, Jennifer Spillane, David A.J. Moore, and Dimitri M. Kullmann
Author affiliations: University College London Hospitals, London, UK (L. Neill, A.M. Checkley, L.A. Benjamin, M.T. Herdman, B. Monaghan, K. Karunaratne, O. Ciccarelli, J. Spillane, D.A.J. Moore, D.M. Kullmann); University College London, London (L.A. Benjamin, O. Ciccarelli, J. Spillane, D.M. Kullmann); Public Health England, Porton Down, UK (M.T. Herdman, D.P. Carter, S.T. Pullan, E. Aarons, K. Griffiths); London School of Hygiene and Tropical Medicine, London (D.A.J. Moore)
Figure. Neurologic manifestations of tick-borne encephalitis in a 38-year-old man from the United Kingdom after travel to Lithuania. A) Magnetic resonance imaging of the brain and spinal cord at onset of neurologic signs, showing possible longitudinal extensive transverse myelitis in the cervical and thoracic cord, with involvement of the central gray matter. B) One month later, increased T2 signal and mild swelling of the central gray matter of the cervical cord have both regressed, with some residual subtle signal changes throughout the spinal cord. Left, axial images; right, sagittal images.
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