Coronavirus disease (COVID-19) has a number of emerging neurological manifestations in addition to pneumonia and respiratory distress . In what follows, we describe a case of a previously healthy young man with severe COVID-19 who subsequently developed an acute flaccid paralysis . Work up revealed a lesion in his cervical spinal cord concerning for spinal infarction or transverse myelitis . He received empiric pulsed steroids without improvement . Taken together, we felt his presentation was most consistent with spinal cord infarction in the setting of critical illness with COVID-19 . We believe this is a rare case of spinal cord stroke associated with COVID-19.