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. 2021 Feb 12;353:577521. doi: 10.1016/j.jneuroim.2021.577521

Table 1.

Reported cases of SARS-CoV-2-related transverse myelitis.

Case report Size-location SARS-CO-V2 HHV6 Other viruses Oligoclonal bands MOG-IgG AQP4-IgG Treatment Outcome
Munz et al., 2020 Short segment – thoracic Positive pharyngeal PCR, Negative CSF PCR Negative CSF PCR Negative HSV CSF PCR Negative Negative Negative Steroids Full recovery
Zachariadis et al., 2020 Short segment – thoracic Negative nasopharyngeal PCR, positive IgG and IgM on serology Negative in serum, not reported in CSF Negative Negative Negative Negative IVIG, steroids Partial recovery
Sotoca and Rodríguez-Álvarez, 2020 Longitudinally extensive from the medulla to the thoracic cord Positive oropharyngeal PCR, Negative CSF PCR Negative serum and CSF PCR Negative Negative Negative Negative Plasma exchange, steroids Partial recovery
Sarma and Bilello, 2020 Longitudinally extensive from the medulla to the conus Positive oropharyngeal PCR, Negative CSF PCR Not reported Not reported Not reported Not reported Not reported Plasma exchange and steroids Partial recovery
Valiuddin et al., 2020 Longitudinally extensive – cervical Positive nasopharyngeal PCR, Negative CSF PCR Not reported Not reported Negative Negative in CSF Not reported Steroids and plasma exchange Partial recovery (little improvement)
Alketbi et al., 2020 Longitudinally extensive from the cervical cord to the conus Positive nasopharyngeal PCR, CSF not reported Not reported Negative - Serum HSV 1 and 2, adenovirus, EBV, CMV and HIV Not reported Not reported Not reported Steroids Partial recovery
Baghbanian and Namazi, 2020 Longitudinally extensive thoracic Positive nasopharyngeal PCR, Negative CSF PCR Not reported Negative -CSF PCR for CMV and HSV Negative Negative Negative Plasma exchange Partial recovery
Chow et al., 2020 Longitudinally extensive – thoracic Positive nasopharyngeal PCR, Negative CSF PCR Not reported Negative - Serology for EBV, CMV, HIV, hepatitis B and C Negative Negative Negative steroids Full recovery
Chakraborty et al., 2020 Short segment - thoracic Positive nasopharyngeal PCR, negative CSF PCR Not reported Negative - serology for hepatitis B, hepatitis C, HIV I and II Not reported Not reported Not reported Steroids N/A – died of respiratory failure 1 day after treatment
Abdelhady et al., 2020 Longitudinally extensive – thoracic Positive nasopharyngeal PCR, Negative CSF PCR Not reported Negative - hepatitis B and C, herpes simplex viruses Not reported Not reported Not reported Steroids+ acyclovir N/A – died 2 days after MRI from cardiac arrest
Saberi et al., 2020 Longitudinally extensive- cervical Negative nasopharyngeal PCR, “suspicious” CSF PCR Not reported Not reported Not reported Negative Negative Steroids No improvement
Lisnic et al., 2020
Longitudinally extensive – cervical and thoracic
Positive pharyngeal PCR, CSF not reported Not reported Negative - Serum and CSF HSV 1,2,6, CMV, EBV, Negative Negative Negative Steroids and Plasma Exchange Full recovery
Zhao et al., 2020 Uncertain – sensory level at T10 with bowel and bladder incontinence and LE paralysis but no spinal MRI was done Positive nasopharyngeal PCR, CSF not reported Not reported Negative - EBV IgM, influenza B virus IgM, adenovirus IgM, coxsackievirus IgM, influenza A virus IgM, parainfluenza virus IgM, CMV IgM, RSV IgM Not reported Not reported Not reported Steroids, IVIG, antivirals, antibiotics Partial Recovery
Zhou et al., 2020 Longitudinally extensive – cervical and thoracic Positive nasopharyngeal PCR, Negative CSF PCR Not reported Negative Positive Positive Negative Steroids Full recovery

Short segment less than three spinal levels (e.g. C5-C6).

Longitudinally extensive more than three spinal levels (e.g. from C2 to T12).