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Spinomedullary Weston Hurst Syndrome After COVID-19 and Influenza Co-Infection: A Case Report.
Hutto, Spencer Kristian; Rapalino, Otto; Venna, Nagagopal.
  • Hutto SK; Division of Hospital Neurology, Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
  • Rapalino O; Division of Neuroradiology, Department of Radiology, Massachusetts General Hospital, Boston, MA, USA.
  • Venna N; Division of Neuroimmunology and Neuroinfectious Diseases, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Neurohospitalist ; 12(2): 337-340, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1430366
ABSTRACT
The neurological complications of coronavirus disease 2019 (SARS-CoV-2, COVID-19) have so far included a range of para- and post-infectious neuroinflammatory syndromes inclusive of all components of the neuraxis and peripheral neuromuscular system. In comparison to the para-infectious manifestations of anosmia, ageusia, encephalopathy, and encephalitis, cases of post-infectious ADEM have rarely been reported and have most commonly affected the supratentorial component with or without spinal cord involvement. In this report, we describe a case of isolated involvement of the cervicothoracic spinal cord and medulla, occurring in association with microhemorrhages and hemosiderin deposition in the medulla, that presented fulminantly and required aggressive immunotherapy to control the inflammatory attack. We compare and contrast this case against prior reports of acute hemorrhagic leukoencephalitis (Weston Hurst syndrome) and review the atypical features of neuroinflammation reported to occur following COVID-19 infection.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Observational study Language: English Journal: Neurohospitalist Year: 2022 Document Type: Article Affiliation country: 19418744211047773

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Observational study Language: English Journal: Neurohospitalist Year: 2022 Document Type: Article Affiliation country: 19418744211047773