Abstract
Transverse myelitis (TM), a poorly understood neurological disorder, can manifest in various clinical scenarios. We report a unique case where TM presented in a background of benign paroxysmal positional vertigo (BPPV). The patient, an otherwise healthy female, experienced a rapid onset of symptoms, culminating in complete left-sided hemiparesis and exacerbation of BPPV characteristics. Following admission to an inpatient rehabilitation facility, significant enhancements in activities of daily living were observed, underscoring the pivotal role of intensive physical rehabilitation.