Severe acute flaccid myelitis associated with enterovirus in children: two phenotypes for two evolution profiles?

Acute flaccid myelitis (AFM) is an acute paralysis syndrome defined by a specific inflammation of the anterior horn cells of the spinal cord. From 2014, worrying waves of life-threatening AFM consecutive to enterovirus infection (EV-D68 and EV-A71) have been reported. We describe 10 children displaying an AFM with an EV infection, the treatments performed and the 1 to 3-years follow-up. Two groups of patients were distinguished: 6 children ("polio-like group") had severe motor disability whereas 4 other children ("brainstem group") displayed severe brainstem weakness requiring ventilation support. Electrodiagnostic studies (n = 8) support the presence of a motor neuronopathy associated to myelitis. The best prognosis factor seems to be the motor recovery after the first 4 weeks of the disease.

Author(s): Aubart Melodie, Gitiaux Cyril, Roux Charles Joris, Levy Raphael, Schuffenecker Isabelle, Mirand Audrey, Bach Nathalie, Moulin Florence, Bergounioux Jean, Leruez-Ville Marianne, Rozenberg Flore, Sterlin Delphine, Musset Lucile, Antona Denise, Boddaert Nathalie, Zhang Shen Ying, Kossorotoff Manoelle, Desguerre Isabelle

Publishing year: 2020

Pages: 1-7

In relation to

Our latest news

news

2026 “Sexual Behavior” Survey (ERAS) for men who have sex with men

news

Hervé Maisonneuve has been appointed scientific integrity officer for a...

Visuel illustratif

news

Public Health France 2026 Barometer: Launch of the Survey