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Fungal Partial Transverse Myelitis of the Cervical Spine in an Immunocompetent Individual: A Case Report
並列摘要
This case report describes the presentation of new onset of worsening bilateral proximal and distal upper and lower limb weaknesses for the past three months in a 48-year-old man. His past medical history includes only essential hypertension. He denied any fever, diarrhea, or recent vaccination prior to the onset of his symptoms. He had vague patchy sensory loss in both right upper and lower limbs with no clear dermatomal distribution. The magnetic resonance imaging (MRI) of the cervical spine revealed features consistent of partial transverse myelitis. Cerebrospinal fluid (CSF) analysis showed raised opening pressure with evidence of yeast cells on gram stain examination on three different occasions. His neurological symptoms and signs responded to a two-week course of intravenous amphotericin B and oral flucytosine, but there remained minimal residual neurological deficit.
延伸閱讀
- 曾惠瑜、程琡敏、陳若佟、官大紳、王崇任（2001）。Diffused Involvement of the Spinal Cord in a Patient with Lupus-Related Acute Transverse Myelitis：A Case Report。中華民國復健醫學會雜誌，29(3)，153-158。https://www.airitilibrary.com/Article/Detail?DocID=10253009-200109-29-3-153-158-a
- Chen, J. J., Chen, D. L., & Lin, C. J. (2015). A Case of Acute Nontraumatic Cervical Myelopathy Presenting as Acute Ipsilateral Hypoesthetic Hemiparesis. 童綜合醫學雜誌, 9(2), 100-105. https://www.airitilibrary.com/Article/Detail?DocID=20713592-201512-201512310005-201512310005-100-105
- 朱冠宇、劉文勝、賴彥廷、莊以瀑、林樞寰（2012）。Giant-Cell Tumor of the Cervical Spine in an Adult Female with Neck Stiffness: A Case Report。台灣復健醫學雜誌，40(1)，53-57。https://doi.org/10.6315/2012.40(1)08
- Sasaki, K., Matsumoto, T., Mizuno, T., Ikuta, S., Akisue, T., Fujioka, H., Doita, M., Kurosaka, M., & Kuroda, R. (2010). Pneumocephalus Associated with Cerebrospinal Fluid Fistula as a Complication of Spinal Surgery: A Case Report. Case Reports in Medicine, 2010(), 274-277-070. https://doi.org/10.1155/2010/328103
- 張淑薇、饒紀倫、潘信良、王顏和（2008）。Acute Spontaneous Cervical Spinal Epidural Hematoma with Hemiparesis: A Case Report。台灣復健醫學雜誌，36(3)，193-198。https://doi.org/10.6315/2008.36(3)08