Neck Pain and Unilateral Weakness
A 5-year-old fully orientated girl was brought to our ER with immobilizing neck and shoulder pain developing over the same day, weakness of the upper right extremity starting the day before and oliguria. Personal medical history was negative for fever and trauma. Two weeks prior she suffered from gastroenteritis and reported a combined vaccination against diphtheria, pertussis and tetanus.
Neurological examination revealed marked neck stiffness, weakness in the right hand and arm (M 3/5) and inability to walk.
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