Post-infectious basal ganglia encephalitis and axonal variant of Guillain-Barré syndrome after COVID-19 infection: an atypical case report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Neurological complications attributed to coronavirus disease-19 (COVID-19) infection have been reported including acute disseminated encephalomyelitis, Guillain-Barré syndrome, and so on. Herein, we report a 49-year-old woman presented with acute encephalopathy and paraplegia simultaneously after COVID-19 infection. Brain magnetic resonance imaging (MRI) showed symmetric hyperintense basal ganglia lesions on T2-weighted imaging. Cerebrospinal fluid pleocytosis, motor axonal neuropathy and enhancement of conus medullaris nerve roots on spine MRI were observed. We treated her with high-dose corticosteroid and intravenous immunoglobulin.
Abstract
Neurological complications attributed to coronavirus disease-19 (COVID-19) infection have been reported including acute disseminated encephalomyelitis, Guillain-Barré syndrome, and so on. Herein, we report a 49-year-old woman presented with acute encephalopathy and paraplegia simultaneously after COVID-19 infection. Brain magnetic resonance imaging (MRI) showed symmetric hyperintense basal ganglia lesions on T2-weighted imaging. Cerebrospinal fluid pleocytosis, motor axonal neuropathy and enhancement of conus medullaris nerve roots on spine MRI were observed. We treated her with high-dose corticosteroid and intravenous immunoglobulin.
참고문헌 (12)
- Ellul MA, "Neurological associations of COVID-19", Lancet Neurol, 19, pp.767~783 (2020)
- Palaiodimou L, "Prevalence, clinical characteristics and outcomes of Guillain-Barré syndrome spectrum associated with COVID-19: a systematic review and meta-analysis", Eur J Neurol, 28, pp.3517~3529 (2021)
- Siow I, "Encephalitis as a neurological complication of COVID-19: a systematic review and meta-analysis of incidence, outcomes, and predictors", Eur J Neurol, 28, pp.3491~3502 (2021)
- Bertrand A, "MR imaging of adult acute infectious encephalitis", Med Mal Infect, 47, pp.195~205 (2017)
- Pohl D, "Acute disseminated encephalomyelitis : updates on an inflammatory CNS syndrome", Neurology, 87(9 Suppl 2), pp.S38~S45 (2016)
- Gulko E, "MRI brain findings in 126 patients with COVID-19 : initial observations from a descriptive literature review", AJNR Am J Neuroradiol, 41, pp.2199~2203 (2020)
- Van Cauter S, "Bilateral lesions of the basal ganglia and thalami(central grey matter)-pictorial review", Neuroradiology, 62, pp.1565~1605 (2020)
- Werner R, "Autoimmune basal ganglia encephalitis with hemolytic anemia", Ann Hematol, 101, pp.1857~1858 (2022)
- Pawela C, "The neuropsychological profile of children with basal ganglia encephalitis : a case series", Dev Med Child Neurol, 59, pp.445~448 (2017)
- Fokke C, "Diagnosis of Guillain-Barré syndrome and validation of Brighton criteria", Brain, 137(Pt 1), pp.33~43 (2014)
- Wakerley BR, "Mimics and chameleons in Guillain-Barréand Miller Fisher syndromes", Pract Neurol, 15, pp.90~99 (2015)
- 양지원, "Atypical Acute Motor Axonal Neuropathy with Cerebrospinal Pleocytosis Mimicking Myelitis", Journal of Clinical Neurology, 13(2), pp.205~206 (2017), 대한신경과학회[DOI]