Early recovery in post Varicella transverse myelitis

A 7 years old boy presenting with acute flaccid paralysis after Varicella zoster infection was diagnosed as having acute transverse myelitis on MRI. He recovered fully after treatment with intravenous corticosteroids and acyclovir. The occurrence of this condition during or following Varicella infection is uncommon. There are previously very few reported cases of post-Varicella acute transverse myelitis in which recovery started after 3 months of treatment. In this case complete recovery occurred in 2 weeks of treatment. This report emphasizes the need for Varicella zoster vaccine to prevent not only acute Varicella, but also its rare postinfectious neurologic sequelae.