Acute Transverse Myelitis

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Clinical Description

• Inflammation of the spinal cord, acute (hours) – subacute (days) onset
• Back pain, flaccid paraplegia, sensory level on the trunk, urinary incontinence
• CSF: Proteins and lymphocytes increased

Treatment

High doses of IV corticosteroids (methylprednisolone, dexamethasone) followed by oral prednisolone for 2-3 weeks, Acyclovir (if VZV or HSV myelitis not excluded)