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Research ArticlePEDIATRICS

Acute Flaccid Paralysis in Infants and Young Children with Enterovirus 71 Infection: MR Imaging Findings and Clinical Correlates

Cheng-Yu Chen, Ying-Chao Chang, Chao-Ching Huang, Chun-Chung Lui, Kwo-Wei Lee and Song-Chei Huang
American Journal of Neuroradiology January 2001, 22 (1) 200-205;
Cheng-Yu Chen
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Ying-Chao Chang
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Chao-Ching Huang
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Chun-Chung Lui
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Kwo-Wei Lee
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Song-Chei Huang
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    fig 1.

    Unilateral AFP and transient urinary retention in 18-month-old girl with lumbosacral radiculomyelitis.

    A, Contrast-enhanced axial T1-weighted image (752/15/1) at L1 level shows strong enhancement of the left ventral root (arrowhead) and mild enhancement of the left anterior horn cells (arrow) of the sacral cord.

    B, Left anterior horn lesion (arrow) is inconspicuous on gradient-echo T2-weighted image (808/18/20).

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    fig 2.

    Radiculomyelitis causing bilateral AFP and urinary retention.

    A, Unenhanced axial T1-weighted image (752/15) shows hypointense lesions (arrowheads) in the anterior horn cells of spinal cord bilaterally at T11 level.

    B, Contrast-enhanced T1-weighted image at the same level as in A shows predominant enhancement of the ventral roots (arrowheads). The anterior horn cell lesions do not enhance.

    C, Contrast-enhanced T1-weighted image at the conus level clearly shows the predominant ventral root enhancement. The slightly hyperintense dot at the left dorsal root region (arrowhead) is probably due to enhancement of the radicular vein.

    D, The anterior horn cell lesions are hyperintense and more conspicuous on gradient-echo T2-weighted image (808/15/20) as compared with T1-weighted image (A).

    E, Sagittal fast spin-echo T2-weighted image (2300/103/2) shows the extent of the anterior horn cell lesions (arrowheads) from midthoracic to conus levels.

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    fig 3.

    Persistent weakness of right lower limb 2 months after EV71 infection in a 16-month-old infant.

    A, Axial fast spin-echo T2-weighted image (4000/80/3) at lumbosacral cord 2 months after acute paralysis shows a hyperintense lesion in the right anterior horn region (arrow).

    B, Sagittal fast spin-echo T2-weighted image shows a long-segment hyperintense lesion (arrowheads) extending from the lower thoracic to the lumbosacral levels.

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    Clinical characteristics, CSF and neuroimaging findings, and outcome in seven young children with enterovirus 71 infection and acute flaccid paralysis

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American Journal of Neuroradiology
Vol. 22, Issue 1
1 Jan 2001
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Cheng-Yu Chen, Ying-Chao Chang, Chao-Ching Huang, Chun-Chung Lui, Kwo-Wei Lee, Song-Chei Huang
Acute Flaccid Paralysis in Infants and Young Children with Enterovirus 71 Infection: MR Imaging Findings and Clinical Correlates
American Journal of Neuroradiology Jan 2001, 22 (1) 200-205;

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Acute Flaccid Paralysis in Infants and Young Children with Enterovirus 71 Infection: MR Imaging Findings and Clinical Correlates
Cheng-Yu Chen, Ying-Chao Chang, Chao-Ching Huang, Chun-Chung Lui, Kwo-Wei Lee, Song-Chei Huang
American Journal of Neuroradiology Jan 2001, 22 (1) 200-205;
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Cited By...

  • Update on acute flaccid myelitis: recognition, reporting, aetiology and outcomes
  • Enterovirus A71 Infection Activates Human Immune Responses and Induces Pathological Changes in Humanized Mice
  • Clinical Reasoning: A 2-year-old child with acute flaccid paralysis
  • Optimization of a Class of Tryptophan Dendrimers That Inhibit HIV Replication Leads to a Selective, Specific, and Low-Nanomolar Inhibitor of Clinical Isolates of Enterovirus A71
  • Peptidyl Aldehyde NK-1.8k Suppresses Enterovirus 71 and Enterovirus 68 Infection by Targeting Protease 3C
  • MRI Findings in Children with Acute Flaccid Paralysis and Cranial Nerve Dysfunction Occurring during the 2014 Enterovirus D68 Outbreak
  • Crystal Structure of Enterovirus 71 RNA-Dependent RNA Polymerase Complexed with Its Protein Primer VPg: Implication for a trans Mechanism of VPg Uridylylation
  • Clinical Reasoning: A 12-year-old boy with ascending weakness
  • Enterovirus 71 VPg Uridylation Uses a Two-Molecular Mechanism of 3D Polymerase
  • A Non-Mouse-Adapted Enterovirus 71 (EV71) Strain Exhibits Neurotropism, Causing Neurological Manifestations in a Novel Mouse Model of EV71 Infection
  • Retrograde Axonal Transport: a Major Transmission Route of Enterovirus 71 in Mice
  • Restoration of shoulder function and elbow flexion by nerve transfer for poliomyelitis-like paralysis caused by enterovirus 71 infection
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