A 14-year-old boy presented with incomplete transverse myelopathic sym
ptoms associated with mild encephalitis. Magnetic resonance imaging (M
RI) revealed involvement of the central portion of spinal cord extendi
ng from the C1 to T5 level on T2-weighted images with expansion of the
cervical spinal cord. The boy made a full clinical recovery in a few
weeks. Cultures of the pharyngeal exudate were positive for ECHO virus
type 11. The lesion on MRI disappeared completely in a few months.