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BMJ Case Rep ; 14(3)2021 Mar 24.
Article in English | MEDLINE | ID: covidwho-1150215


COVID-19 has now emerged from a respiratory illness to a systemic viral illness with multisystem involvement. There is still a lot to learn about this illness as new disease associations with COVID-19 emerge consistently. We present a unique case of a neurological manifestation of a patient with structural brain disease who was COVID-19 positive and developed mental status changes, new-onset seizures and findings suggestive of viral meningitis on lumbar puncture. We also review the literature and discuss our case in the context of the other cases reported. We highlight the value of considering seizures and encephalopathy as one of the presenting features of COVID-19 disease.

Brain Diseases/etiology , COVID-19/complications , Seizures/etiology , Adenosine Monophosphate/analogs & derivatives , Adenosine Monophosphate/therapeutic use , Adult , Alanine/analogs & derivatives , Alanine/therapeutic use , Anticonvulsants/therapeutic use , Antiviral Agents/therapeutic use , Brain Diseases/diagnosis , Brain Diseases/therapy , COVID-19/diagnosis , COVID-19/therapy , Confusion/complications , Humans , Immunization, Passive/methods , Magnetic Resonance Imaging/methods , Male , Polymerase Chain Reaction , Radiography/methods , SARS-CoV-2 , Seizures/therapy , Treatment Outcome
JMIR Ment Health ; 7(9): e20157, 2020 Sep 18.
Article in English | MEDLINE | ID: covidwho-595382


The use of telebehavioral health has been expanding in the past decade to improve access to psychiatric care and address critical shortages in the psychiatric workforce. The coronavirus (COVID-19) pandemic forced a sudden shift from traditional in-person visits to alternative modalities. There are key factors associated with successful transitional and large-scale implementation of telehealth with existing resources. We describe the experience of a large health care system using telehealth technology, and we identify strategies and discuss considerations for long-term sustainability after the pandemic.