The coronavirus disease-2019 (COVID-19) may be a trigger for acquired demyelinating central or peripheral nervous system disorders like other viral infections. We present a clinical image of a patient who was diagnosed with neuromyelitis optica (NMO) following COVID-19 infection. A 25-year-old woman presented with progressive loss of strength and numbness in her left upper extremity and bilateral lower extremities and sphincter involvement on the second week of isolation. Spinal magnetic resonance imaging revealed extensive long-segment demyelinating lesion. NMO-immunoglobulin G antibody was positive. It is one of the first cases of long extensive transverse myelitis with seropositivity among the long-segment myelitis cases in the literature.
Keywords: COVID-19, longitudinally extensive transverse myelitis, neuromyelitis optica