Your browser doesn't support javascript.
A Case of Elsberg Syndrome in the Setting of Asymptomatic SARS-CoV-2 Infection.
Abrams, Rory M C; Desland, Fiona; Lehrer, Helaina; Yeung, Anne; Tse, Winona; Young, James J; Mendu, Damodara R; Vickrey, Barbara G; Shin, Susan C.
  • Abrams RMC; Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY; and.
  • Desland F; Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY; and.
  • Lehrer H; Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY; and.
  • Yeung A; Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY; and.
  • Tse W; Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY; and.
  • Young JJ; Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY; and.
  • Mendu DR; Department of Pathology, Molecular and Cell-Based Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
  • Vickrey BG; Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY; and.
  • Shin SC; Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY; and.
J Clin Neuromuscul Dis ; 22(4): 228-231, 2021 Jun 01.
Article in English | MEDLINE | ID: covidwho-1238256
ABSTRACT
ABSTRACT Elsberg syndrome is a rare cause of lumbosacral radiculitis with concomitant thoracic and lumbosacral myelitis that can be seen after an acute or reactivated viral infection. After the initial coronavirus surge in New York City, a 68-year-old man developed progressive lower extremity weakness and a defined sensory level at the lower abdomen. He had highly elevated SARS-CoV-2 IgG antibodies despite an absence of preceding COVID-19 symptoms. Serial electrodiagnostic testing revealed absent lower extremity late responses, with otherwise normal distal sensorimotor conductions. Electromyography revealed active neurogenic changes and reduced motor unit recruitment in the L3-L4 myotomes. Treatment with methylprednisolone and intravenous immunoglobulin was followed by minimal clinical improvement but re-emergence of the lower extremity late responses on electrodiagnostic testing. We report here, to the best of our knowledge, the first case of suspected COVID-19-associated Elsberg syndrome, which expands the spectrum of neuromuscular manifestations associated with SARS-CoV-2 infection and sheds light on ways to approach diagnostic and treatment options for these patients.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Radiculopathy / COVID-19 / Myelitis Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Aged / Humans / Male Language: English Journal: J Clin Neuromuscul Dis Journal subject: Physiology / Neurology Year: 2021 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Radiculopathy / COVID-19 / Myelitis Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Aged / Humans / Male Language: English Journal: J Clin Neuromuscul Dis Journal subject: Physiology / Neurology Year: 2021 Document Type: Article