Transverse myelitis is a rapidly progressive rare condition that specifically affects the tracts across the horizontal aspect of the spinal cord at a given level. It commonly involves the thoracic spine, The exact cause is unknown, but it can occur after viral infections, Clinical features include lower extremity weakness or plegia, back pain, sensory deficits below the level of the lesion, and urinary retention. Diagnosis is made by MRI, which is the investigation of choice. Treatment includes high-dose steroid therapy, but the evidence supporting its use is equivocal. The prognosis of transverse myelitis is highly variable, ranging from full recovery to death.