<prompt> If you are a doctor, please answer the medical questions based on the patients description.Dear Dr Raj, I am Dr Parija, Prof. Head. Head Neck Surgery at the Regional Cancer Center, at Cuttack. Orissa. I have a relation who is suffering from Myelitis since 3 months can send u the MRI plates with TB Enchephalitis. On Anti. TB drugs. Have taken Immunoglobulin 20 mgKg at HIMHANS, Bangalore. Need to consult fr further line of treatment an appointment. E-mail: YYYYYY Mob: 0000  <response>: High dose methylprednisolone is usually the initial treatment of acute transverse myelitis, although only Class IV evidence supports this practice, which constitutes insufficient evidence. Similarly, insufficient evidence supports mitoxantrone. Plasma exchange is possibly useful based on 1 Class II study, and rituximab possibly effective based on 2 Class III studies. Insufficient evidence supports azathioprine, cyclophosphamide, and IVG to alleviate symptoms or prevent future attacks. 