ACUTE DORSAL MYELITIS WITH ACUTE HEPATITIS -B NOT RESPONDED TO STEROID INITIALLY RESPONDED TO PLASMAPHARESISFIRST RARE CASE REPORT

Abstract

Many potential etiologies for acutemyelitis have been described. Clinical, immunological, and radiological findings of noncompressive myelopathies are reviewed, as are how thesefindings can be used to distinguishbetween demyelinating, infectious, other inflammatory, vascular, neoplastic, and paraneoplastic etiologies. .(1).Acute transverse myelitis(ATM) is a rare clinical entity characterized by sudden onset of sensori-motor paralysisdue to complete spinal cord dysfunction with truncal weakness ., It may be precipitated by a number of conditions, especially acute viral and post vaccinations. Though hepatitis B vaccination can result in transverse myelitis, its occurrence following acute hepatitis B infection has been described in few case reports worldwide. .

 We report the case of acute transverse myelitisassociated with hepatitis B infection while no response to intravenous steroid.,responded to plasmapharesis. No other demonstrable clinical and laboratory evidence for any other disorder raise the probability of other etiology in this case.