Post COVID-19 transverse myelitis; a case report with review of literature

Ann Med Surg (Lond). 2021 Sep;69:102749. doi: 10.1016/j.amsu.2021.102749. Epub 2021 Aug 23.

Abstract

Introduction: Coronavirus disease 2019 (COVID-19) has emerged as severe acute respiratory syndrome coronavirus 2 (SARS-CoV2). Recently, various complications have been reported. The aim of the current study is to report a rare case of transverse myelitis after recovering from COVID-19.

Case report: A 34-year-old lady, presented with inability to walk for one day duration due to the lower limb weakness. After two weeks from the recovery of COVID-19; she developed progressive intermittent leg pain, paresthesia and weakness on both sides. Brain and cervical MRI showed evidence of a short segment inflammatory enhancing lesion at upper cervical region (at C1 level). The patient was treated conservatively.

Discussion: Transverse myelitis has many different causes, it occurs as an autoimmune phenomenon post-infection and vaccination, or it may result from direct infection or acquired demyelinating disease like multiple sclerosis.

Conclusion: Although it is a sporadic finding, SARS-CoV-2 can cause transverse myelitis. The condition responds to medical therapy.

Keywords: Corona virus disease 2019; Neurological dysfunction; SARS-CoV-2.

Publication types

  • Case Reports