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Scholars Journal of Medical Case Reports | Volume-13 | Issue-08
A Rare Case of Longitudinally Extensive Transverse Myelitis Associated with Isolated Hyperparathyroidism
Dr. Munindra Goswami, Dr. Akshay Bhutada, Dr. Sangita Deka
Published: Aug. 20, 2025 | 30 28
DOI: https://doi.org/10.36347/sjmcr.2025.v13i08.038
Pages: 1905-1907
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Abstract
Longitudinally extensive transverse myelitis (LETM) is typically associated with autoimmune, paraneoplastic, or infectious etiologies. We report a rare case of LETM in a middle-aged male with persistently elevated intact parathyroid hormone (iPTH) levels, normal calcium-phosphorus profile, and vitamin D deficiency, with complete recovery after corticosteroid therapy and vitamin D correction. This case raises the possibility of a rare parainflammatory association between isolated hyperparathyroidism and spinal cord demyelination.