Your browser doesn't support javascript.
Case report: Multiple sclerosis diagnosis after anterior lumbar interbody fusion and presumed COVID-19 infection.
Alter, Todd H; Helbig, Thomas; Chiappetta, Gino.
  • Alter TH; Department of Orthopaedic Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, United States.
  • Helbig T; Department of Orthopaedic Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, United States.
  • Chiappetta G; Department of Orthopaedic Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, United States.
Surg Neurol Int ; 13: 125, 2022.
Article in English | MEDLINE | ID: covidwho-1791396
ABSTRACT

Background:

Multiple sclerosis (MS) is an autoimmune demyelinating disease of the central nervous system that may present with a wide variety of clinical presentations. However, there can be substantial overlap between symptoms from MS and those caused by lumbar spondylosis and/or postviral plexopathies. Case Description A 33-year-old female with a history of an L5-S1 anterior lumbar interbody fusion and exposure to the SARS-CoV-2 virus developed postoperative worsening of her symptoms interpreted as "radiculopathy." Despite a subsequent L5-S1 fusion, she continued to neurologically deteriorate and was ultimately diagnosed with MS.

Conclusion:

The initial symptoms/signs of MS may mimic lumbar radiculopathy and or postviral plexopathy (i.e., due to recent COVID-19). This report should serve as a warning to future spinal surgeons to better differentiate between radicular and other "complaints," sufficient to avoid unnecessary repeated spinal surgery.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Surg Neurol Int Year: 2022 Document Type: Article Affiliation country: SNI_192_2022

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Surg Neurol Int Year: 2022 Document Type: Article Affiliation country: SNI_192_2022