Abstract

Background: Previously, several cases have been reported on transverse myelitis associated with demyelinating diseases. In this case report, we mention longitudinally extensive transverse myelitis, a rare extra hepatic manifestation of Hepatitis E patient. As per our knowledge, no such case has previously been reported from Pakistan. Case: A young male patient, initially treated as a case of Hepatitis E, developed bilateral lower limb weakness and urinary retention during his disease course. Neuroimaging showed longitudinally extensive transverse myelitis. Conclusion: We concluded that further workup in such patients should be extended to rule out demyelinating diseases and long-term management should be planned accordingly

Keywords

longitudinally extensive transverse myelitis, LETM, hepatitis E, extra hepatic manifestation