Longitudinal extensive transverse myelitis due to tuberculosis: a report of four cases.

Sir

We read with interest the article by Sahu, Giri, and Gupta entitled “Longitudinal extensive transverse myelitis due to tuberculosis: A report of four cases.”[1] We have the following comments. 1) All of the patients that have presented showed similar symptoms. Have authors use a classification system guiding for transverse myelitis treatment? 2) Spinal tuberculosis is the most common and the worst form of tuberculosis lesions in the skeleton.[23] Have they witnessed transverse myelitis patients along with discitis, vertebral body involvement or abcess? 3) Some scientists also reported paradoxical responses as worsening of existing symptoms or the appearance of new lesions in patients who initially responded well to antituberculous therapy.[45] Have authors witnessed poor outcome after treatment transverse myelitis patients?