Acute transverse myelitis is a rare Borellia burgdorferi related neurologic complication in childhood. We present a 12-year-old girl who was diagnosed with acute transverse myelitis associated with a borreliosis infection. We also review clinical features in all five cases of Borellia burgdorferi related transverse myelitis in children. We describe here the sixth child with borreliosis-related transverse myelitis. (C) 2013 Elsevier Inc. All rights reserved.