Tj. Marrie et al., ENCEPHALOMYELORADICULOPATHY OF INFECTIOUS OR PARAINFECTIOUS ETIOLOGY - A NEW ENTITY, Clinical infectious diseases, 20(4), 1995, pp. 945-953
Between 19 March 1990 and 24 December 1992, six persons in Nova Scotia
presented with a unique neurological illness. A prodrome of fever and
headache was followed by neurogenic bladder, transverse myelitis, and
encephalopathy in association with mononuclear pleocytosis of the CSF
and nerve-conduction study findings consistent with polyradiculopathy
. The spinal cords of three of the patients appeared abnormal on myelo
grams or magnetic resonance imaging studies. No microbial agent was is
olated or demonstrated serologically, All of the patients were treated
with antimicrobial agents and corticosteroids. Three recovered comple
tely, but neurogenic bladder persisted in the remaining three. We sugg
est that this group of patients manifested an encephalomyeloradiculopa
thy that is likely a new clinical entity of infectious or parainfectio
us etiology.