{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:06:26Z","timestamp":1791875186145,"version":"4.3.4"},"reference-count":27,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,8,4]]},"abstract":"<jats:p>Neurological manifestations of a primary Epstein-Barr virus (EBV) infection are rare. We describe a case with acute transverse myelitis and another case with a combination of polyradiculitis and anterior horn syndrome as manifestations of a primary EBV infection.<\/jats:p>\n               <jats:p>The first case is a 50-year-old immunocompetent male diagnosed with acute transverse myelitis, 2\u2009weeks after he was clinically diagnosed with infectious mononucleosis. The second case is an 18-year-old immunocompetent male diagnosed with a combination of polyradiculitis and anterior horn syndrome while he had infectious mononucleosis. The first patient was treated with methylprednisolone. After 1\u2009year, he was able to stop performing clean intermittent self-catheterisation. The second patient completely recovered within 6\u2009weeks without treatment.<\/jats:p>\n               <jats:p>Primary EBV infection should be considered in immunocompetent patients presenting with acute transverse myelitis and a combination of polyradiculitis and anterior horn syndrome. Antiviral treatment and steroids are controversial, and the prognosis of neurological sequelae is largely unknown.<\/jats:p>","DOI":"10.1136\/bcr-2018-225333","type":"journal-article","created":{"date-parts":[[2018,8,29]],"date-time":"2018-08-29T11:58:49Z","timestamp":1535543929000},"page":"bcr-2018-225333","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Primary Epstein-Barr virus infection in immunocompetent patients with acute transverse myelitis and a combination of polyradiculitis and anterior horn syndrome as neurological manifestations"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5198-2823","authenticated-orcid":false,"given":"Michiel H F","family":"Poorthuis","sequence":"first","affiliation":[{"name":"Department of Neurology, Tergooi, Blaricum, The 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