text: Acute transverse myelitis with Dysautonomia following SARS CoV 2 infection A case report and review of literature To report a unique case and literature review of post COVID 19 associated transverse myelitis and dysautonomia with abnormal MRI and CSF findings Coronavirus disease have been reported to be associated with several neurological manifestations such as stroke Guillain Barré syndrome meningoencephalitis amongst others There are only few reported cases of transverse myelitis with the novel coronavirus n CoV 2 and only one reported case identifying dysautonomia in COVID 19 patient Here we identify a COVID 19 patient diagnosed with acute transverse myelitis in addition to dysautonomia following with complete resolution of symptoms A retrospective chart review of a patient diagnosed with post SARS CoV 2 infection acute transverse myelitis and dysautonomia and a review of literature of all the reported cases of transverse myelitis and COVID 19 from December 1st 2019 till December 25th 2020 was performed To our knowledge this is the first reported case of transverse myelitis and dysautonomia in a patient with SARS CoV 2 infection who responded to intravenous methyl prednisone and bromocriptine Follow up imaging of the spine showed complete resolution of the lesion Further studies would be recommended to identify the underlying correlation between COVID 19 and transverse myelitis 