CY Mo, CL Yuen

Abstract

A 3-year-old Chinese boy presented with acute onset of left facial nerve palsy with significantly impaired neck and upper limb power. Magnetic resonance imaging of brain and spine showed T2W hyperintense signals over both cerebral peduncles and posterior pons, and a long segment at cervical spinal cord. Enterovirus D68 was positive in stool. The boy was treated as a case of viral myelitis and given a course of corticosteroid and intravenous immunoglobulin. Despite rehabilitation, he still sustained significant residual right upper limb weakness two years after the acute illness. This is the first reported local paediatric case of enterovirus D68 infection related acute flaccid myelitis.