acyclovir and Intervertebral-Disc-Displacement

Thoracic disc herniations are commonly found in asymptomatic individuals, sometimes with genetic predisposition. Congenital fusions of cervical vertebrae occur in Klippel-Feil syndrome, which may be asymptomatic or cause compressive myelitis due to cervical instability or associated herniated discs. We report the case of a 72-year-old man with monophasic acute transverse myelitis probably caused by herpes simplex virus, coexistent with fused cervical vertebrae (C4-C5) and thoracic herniated discs. Establishment of the aetiology in cases of transverse acute myelitis can constitute a challenge in patients with cervical spine anomaly and disc herniations.

Topics: Acyclovir; Aged; Antibodies, Viral; Antiviral Agents; Cervical Vertebrae; Herpes Simplex; Herpesvirus 1, Human; Herpesvirus 2, Human; Humans; Immunoglobulin G; Immunoglobulin M; Intervertebral Disc Displacement; Klippel-Feil Syndrome; Magnetic Resonance Imaging; Male; Myelitis, Transverse; Remission Induction; Thoracic Vertebrae