Spine MR imaging of a 35-year-old man with Zika virus infection and Guillain-Barré syndrome presenting with progressive ascending paralysis that evolved.

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Presentation transcript:

Spine MR imaging of a 35-year-old man with Zika virus infection and Guillain-Barré syndrome presenting with progressive ascending paralysis that evolved to respiratory distress and decreased level of consciousness. Spine MR imaging of a 35-year-old man with Zika virus infection and Guillain-Barré syndrome presenting with progressive ascending paralysis that evolved to respiratory distress and decreased level of consciousness. The patient had skin rashes preceded by flulike symptoms 1 week before the development of neurologic symptoms. Postcontrast enhancement is seen in the cauda equina nerve roots (arrows) on sagittal (A) and axial (B) T1-weighted spine images following gadolinium-based contrast agent injection. Axial gradient-echo T2-weighted (C) and FSE T2-weighted (D and E) spine images reveal hyperintensity (arrow) in the anterior horns of the cervical (C) and thoracic spinal cord (D). L.C. Hygino da Cruz, Jr et al. AJNR Am J Neuroradiol 2018;39:1967-1974 ©2018 by American Society of Neuroradiology