2025, Vol. 8, Issue 2, Part A

Author(s)
Ahmad Iqbal Romdloni, Sitti Radhiah, Adinda Rizka Ramadhini, Abdillah Maulana Satrioaji, Adil Abdullah and Agam Febbrian Syam

Abstract
Transverse myelitis is as a rare focal inflammation across the spinal cord manifesting as motor, sensory, and autonomic symptoms. The term “longitudinally extensive” indicates the involvement of 3 or more segments in the spinal cord and is commonly associated with poorer prognosis. A 12-year-old boy came to the emergency room with the complaints of weakness on both lower extremities, radiating pain, and difficulty in controlling stool. The symptoms were said to have been persisting for 30 days. T2-weighted images of the spine magnetic resonance imaging revealed transverse myelitis from T10 to T12. The patient immediately received intravenous corticosteroid for 5 days and is later tapered off intravenously for 9 days and then orally for 14 days. A slow but steady improvement was observed with some residual deficits during discharge. The patient was readmitted 5 days later for bronchopneumonia and suspicion for a steroid-induced immunosuppression was raised. This case report focuses on the treatment of longitudinally extensive transverse myelitis in pediatric patient presenting with significant disability and delayed admission resulting in poor prognosis and concerning side effect.

DOI: https://doi.org/10.33545/26643685.2025.v8.i2a.265

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