Two Cases of Atopic Myelitis

J Korean Neurol Assoc > Volume 24(3); 2006 > Article

Journal of the Korean Neurological Association 2006;24(3): 278-281.

아토피성 척수염 2예

조정희, 김서현a 정요한b 이재민a 김규식 최선아 이준홍

국민건강보험공단 일산병원 신경과, 연세대학교 원주의과대학 신경과학교실a, 연세대학교 의과대학 신경과학교실b

Two Cases of Atopic Myelitis

Jeong Hee Cho

Department of Neurology, National Health Insurance Corporation Ilsan Hospital, Goyang; Department of Neurology, Yonsei University Wonju College of Medicinea, Wonju; Department of Neurology, Yonsei University College of Medicineb, Seoul, Korea

Abstract

Myelitis is caused by various infectious organisms or an autoimmune mechanism. We report two cases of myelitis with increased serum total IgE and mite antigen specific IgE. The patients had paresthesia and Lhermitte’s signs without weakness nor bladder dysfunctions. A spine MRI revealed a T2-high signal lesion with focal enhancement in the upper cervical cord. The patients showed favorable responses to steroid treatment. Atopic myelitis should be considered as a form of myelitis.KeyWords:Atopic myelitis, HyperIgEaemia, Mite antigen specific IgE