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Acute transverse myelitis associated with SARS-CoV-2: A Case-Report

September 12, 2020

Hisham Valiuddin, DO, Brandon Skwirsk, MD, and Patricia Paz-Arabo, MD

doi: 10.1016/j.bbih.2020.100091


  • • The third case of acute transverse myelitis due to SARS-CoV-2 reported in the world.
  • • Possible inflammatory complications affecting the myelin in spinal cord.
  • • We must be vigilant of the critical neurological illnesses associated with COVID-19.

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1. Introduction

We describe the third reported case of transverse myelitis in a patient with the onset of coronavirus disease 2019 (Covid-19), the disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Although it is a well-known fact now that strains of SARS-CoV-2 can cause neurological manifestations such as anosmia and dysgeusia, recent literature has found complex neurological disease associations such as Guillain–Barré syndrome and early-onset large-vessel strokes (Xydakis et al., 2020; Oxley et al., 2020; Toscano et al., 2020). It has become apparent that Covid-19 causes an inflammatory cascade that results in multiple organ system being affected. In this case, inflammatory complications affecting the myelin in spinal cord occurred without the classic Covid-19 symptoms.

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