===== Acute transverse myelitis ===== acute inflammation of gray and white matter in one or more adjacent spinal cord segments, usually thoracic. === Causes: === * most commonly multiple sclerosis * neuromyelitis optica, infections, autoimmune or post-infectious (viral) inflammation, vasculitis, and certain drugs (amphtemaines, IV heroin, anti-parasitic/malarial). === Symptoms: === * neck, back or head pain * band like tightness around torso * bilateral motor, sensory, and sphincter deficits below the level of the lesion. === Diagnosis: === * MRI and CSF (monocyctes, protein mildly up, and IgG index high.) * IgG marker for neuromyelitis optica variant === DDx: === other transverse myelopathies B12, folate, Zn and Cu def's vascular insufficiency and spinal tumour