Utilized ASIA a-e scale (a is complete disability and e is normal) for spinal cord as well as EDSS. Authors routinely treat all patients with pulse solumedrol, give some plasmapheresis every other day for five exchanges, pulse cytoxan iv (9750-1000 mg/m2) or combination. "N" for four groups was 66, 32, 13, and 11 respectively in this retrospective review.
Conclusions: 1) Among TM patients without an ASIA A level of disability at nadir or history of AI disease, PLEX provided benefit beyond steroids 2) Among patients with ASIA A presentation, PLEX alone did not help, whereas PLEX plus IV CP helped. 3) if ASIA A was not reached, CP did not add benefit.