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Case Reports in Neurological Medicine
Volume 2016, Article ID 1596864, 3 pages
Case Report

Hemorrhagic Longitudinally Extensive Transverse Myelitis

1Department of Medicine, University of Hawaii, Honolulu, HI, USA
2Department of Neurology, Straub Clinics and Hospital, Honolulu, HI, USA

Received 6 June 2016; Revised 3 October 2016; Accepted 5 October 2016

Academic Editor: Mehmet Turgut

Copyright © 2016 Chris Y. Wu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Longitudinally extensive transverse myelitis (LETM) may be associated with viral triggers, including both infections and vaccinations. We present a case of a healthy immunocompetent 33-year-old woman who developed a hemorrhagic LETM 2 weeks after seasonal influenza vaccination. Hemorrhagic LETM has not to our knowledge been reported after influenza vaccination. It may represent a forme fruste variant of acute hemorrhagic leukoencephalitis.