PT  - JOURNAL ARTICLE
AU  - Pournamy Sarathchandran
AU  - Ayman Alboudi
AU  - Reem AlSuwaidi
AU  - Abubaker AbdulRahman Almadani
TI  - Iatrogenic transverse myelitis in a patient with rheumatoid arthritis
AID  - 10.1136/bcr-2018-227584
DP  - 2019 Mar 01
TA  - BMJ Case Reports
PG  - e227584
VI  - 12
IP  - 3
4099  - http://casereports.bmj.com/content/12/3/e227584.short
4100  - http://casereports.bmj.com/content/12/3/e227584.full
SO  - BMJ Case Reports2019 Mar 01; 12
AB  - We report the case of a 59-year-old Arab woman who was presented with acute onset of neck pain followed by quadriparesis, paraesthesias of lower limbs and incontinence of urine. Examination revealed asymmetric sensorimotor quadriparesis with sensory level at T1, establishing a clinical diagnosis of transverse myelitis. Cervical and thoracic spinal MRI showed enhancing T2/fluid attenuated inversion recovery (FLAIR) hyperintense lesion extending from C4 to C7 level in addition to long-segment lesion extending the whole of the spinal cord. She was known to have rheumatoid arthritis for the past 20 years and has been on etanercept for the past 8 years and methotrexate since past 3 years. Etanercept was stopped and she was treated with methylprednisolone followed by oral steroids and physiotherapy with which she had near complete recovery.