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Spinal Cord Infarction Associated with Coronavirus Disease 2019: A Case Report with Magnetic Resonance Imaging Insights

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초록

Coronavirus disease 2019 (COVID-19) has been associated with various neurological complications, including the rare occurrence of spinal cord infarction. In this report, we present the case of a 42-year-old man who developed sudden quadriplegia after being diagnosed with COVID-19. Initial magnetic resonance imaging (MRI) provided inconclusive results; however, subsequent imaging revealed diffusion restriction and vertebral body signal changes, indicative of ischemic changes in the spinal cord. The patient received anticoagulation and corticosteroid therapy followed by rehabilitation, resulting in partial recovery of motor function. This case illustrates the importance of considering spinal cord infarction in patients with COVID-19 who present with neurological symptoms. Furthermore, it highlights the crucial role of MRI, including diffusion-weighted imaging, in diagnosis.

Abstract

Coronavirus disease 2019 (COVID-19) has been associated with various neurological complications, including the rare occurrence of spinal cord infarction. In this report, we present the case of a 42-year-old man who developed sudden quadriplegia after being diagnosed with COVID-19. Initial magnetic resonance imaging (MRI) provided inconclusive results; however, subsequent imaging revealed diffusion restriction and vertebral body signal changes, indicative of ischemic changes in the spinal cord. The patient received anticoagulation and corticosteroid therapy followed by rehabilitation, resulting in partial recovery of motor function. This case illustrates the importance of considering spinal cord infarction in patients with COVID-19 who present with neurological symptoms. Furthermore, it highlights the crucial role of MRI, including diffusion-weighted imaging, in diagnosis.

참고문헌 (13)

  1. Garg RK, "Spinal cord involvement in COVID-19 : a review", J Spinal Cord Med, 46, pp.390~404 (2023)
  2. Mao L, "Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China", JAMA Neurol, 77, pp.683~690 (2020)
  3. Kahan J, "Cervical spinal cord infarction associated with coronavirus infectious disease(COVID)-19", J Clin Neurosci, 87, pp.89~91 (2021)
  4. Xiao Q, "Spinal cord and brainstem extensive infarction : a case with rare complication of COVID-19 infection", Neurol India, 72, pp.451~452 (2024)
  5. Lazzaroni MG, "Coagulation dysfunction in COVID-19 : the interplay between inflammation, viral infection and the coagulation system", Blood Rev, 46, pp.100745~ (2021)
  6. Amalia L, "Hypercoagulable state induced spinal cord stroke after coronavirus disease 19 infection", J Blood Med, 12, pp.1057~1060 (2021)
  7. Eissa M, "Spinal cord infarction in a 41-year-old male patient with COVID-19", Neuroradiol J, 34, pp.245~248 (2021)
  8. Oleson CV, "Spinal cord infarction attributed to SARS-CoV-2, with post-acute sequelae of COVID-19 : a case report", World J Clin Cases, 11, pp.8542~8550 (2023)
  9. Sampogna G, "Spinal cord dysfunction after COVID-19 infection", Spinal Cord Ser Cases, 6, pp.92~ (2020)
  10. Bax F, "Spontaneous spinal cord ischemia during COVID-19 infection", J Neurol, 268, pp.4000~4001 (2021)
  11. Braglia L, "Acute spinal cord dysfunction following COVID-19 infection : a case report", Front Med Case Rep, 3, pp.1~7 (2022)
  12. Sourani A, "SARS-CoV-2 and spinal cord ischemia : a systematic review on clinical presentations, diagnosis, treatment, and outcomes", Spine J, 24, pp.979~988 (2024)
  13. Ke G, "Clinical manifestations and magnetic resonance imaging features of spinal cord infarction", J Neuroradiol, 51, pp.101158~ (2024)

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