Abstract

Acute transverse myelitis (ATM) is an inflammatory process that involves a restricted area of the spinal cord and it can involve the entire thickness of the spinal cord. It is a rare event with an estimated incidence of 1.34 per million in the general population. 1 However, ATM may occur in about 1% of patients suffering with Sjogren’s syndrome. 2 We experienced an infrequent case of ATM associated with Sjogren’s syndrome. Furthermore, the patient had painful spasms and rigidity of the lower limb following ATM. The spasms, which were spontaneous, stimulus-sensitive and induced by voluntary action, involved an abnormal pattern of muscle activity that consisted of repetitive grouped discharges of the motor units. There are relatively few reports of spinal cord disease causing these movement disorders as manifestation of the side effects of paraparesis. Therefore, we report here on an infrequent case with painful spasm and rigidity of lower limb following ATM accompanied with Sjogren’s syndrome.

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