Encephalopathy With Akinetic Mutism in a Child With COVID-19 Infection: A Case Report.
WMJ
; 121(3): E42-E45, 2022 Oct.
Article
in English
| MEDLINE | ID: covidwho-2083741
ABSTRACT
INTRODUCTION:
COVID-19 has been associated with neurological complications, including encephalopathy and akinetic mutism. CASE PRESENTATION A 7-year-old unvaccinated boy presented with visual hallucinations, urinary incontinence, and akinetic mutism 13 days after he was exposed to COVID-19. He had minimal respiratory symptoms, including just 1 day of fever and cough. Evaluations showed slowing on electroencephalogram, normal cerebrospinal fluid, normal brain magnetic resonance imaging, and mild sinus bradycardia. He recovered rapidly to baseline after 5 days of intravenous methylprednisolone.DISCUSSION:
COVID-19-related encephalopathy including akinetic mutism is usually found in older adult patients with more severe COVID-19 illness. Our case demonstrates that akinetic mutism can present in children with mild COVID-19 illness and that it can respond rapidly and completely to intravenous methylprednisolone.CONCLUSIONS:
COVID-19-related encephalopathy may be immune mediated. A heightened awareness of its association with COVID-19 illness should lead to earlier diagnosis and consideration of immunomodulatory therapy.
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Collection:
International databases
Database:
MEDLINE
Main subject:
Akinetic Mutism
/
COVID-19
Type of study:
Case report
/
Diagnostic study
/
Experimental Studies
Topics:
Long Covid
Limits:
Aged
/
Child
/
Humans
/
Male
Language:
English
Journal:
WMJ
Journal subject:
Medicine
Year:
2022
Document Type:
Article
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